Individual
BREANNE CLEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3006 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84106-6004
(801) 916-6678
(801) 931-2607
Mailing address
28 E 2100 S STE 116, SALT LAKE CITY, UT 84115-2356
(801) 916-6678
(801) 505-4639
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1107392
UT
Other
Enumeration date
01/11/2011
Last updated
10/19/2020
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