Individual
GINGER LYNN COZZENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED BEHAVIOR
Contact information
Practice address
1443 W 800 N STE 103, OREM, UT 84057-2878
(801) 604-1455
Mailing address
1443 W 800 N STE 103, OREM, UT 84057-2878
(801) 655-4950
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1-10-7852
UT
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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