Individual
COLTON PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
243 E 400 S STE 300, SALT LAKE CITY, UT 84111-2858
(801) 647-3920
(801) 931-2607
Mailing address
243 E 400 S STE 300, SALT LAKE CITY, UT 84111-2858
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/10/2016
Last updated
01/10/2016
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