Individual
CHASE WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6910 S HIGHLAND DR, COTTONWOOD HEIGHTS, UT 84121-3060
(801) 935-4171
Mailing address
3847 E CUNNINGHILL DR, EAGLE MOUNTAIN, UT 84005-6156
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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