Individual
MR. DYLAN REED GRIMAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(800) 434-8923
Mailing address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(801) 935-4171
(801) 935-4946
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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