Individual
MR. WYATT WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2940 N CHURCH ST STE 303, LAYTON, UT 84040-6617
(801) 935-4171
Mailing address
2637 N WASHINGTON BLVD # 380, NORTH OGDEN, UT 84414-2240
(714) 393-1475
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71382
UT
Other
Enumeration date
11/03/2020
Last updated
05/29/2024
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