Individual
ANASTASIYA GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 W BROADWAY STE 700, SALT LAKE CITY, UT 84101-2060
(385) 494-3500
Mailing address
1900 E PINION CIR, EAGLE MOUNTAIN, UT 84005-4250
(801) 472-8013
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
388804
UT
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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