Individual
COURTNEY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2152 SUMMERWOOD DR, LAYTON, UT 84040-3105
(801) 989-4043
Mailing address
2152 SUMMERWOOD DR, LAYTON, UT 84040-3105
(801) 989-4043
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-90720
UT
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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