Individual
CAROLYN THORNTON GRANT DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
935 E 2985 N, LAYTON, UT 84040
(801) 771-0273
Mailing address
1361 W 1200 N, LAYTON, UT 84041-2054
(727) 219-2784
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-64748
UT
Other
Enumeration date
09/06/2018
Last updated
10/03/2018
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