Organization
NEUROSUCCESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN REYES (OWNER)
(385) 319-0395
Entity
Organization
Contact information
Practice address
331 E 200 S, CLEARFIELD, UT 84015-1007
(385) 319-0395
Mailing address
331 E 200 S, CLEARFIELD, UT 84015-1007
(385) 319-0395
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3006175
—
UT
Enumeration date
05/12/2020
Last updated
05/12/2020
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