Organization
CLIMB BEHAVIOR ANALYTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK GROSKREUTZ BCBA (BEHAVIOR ANALYST)
(978) 407-3105
Entity
Organization
Contact information
Practice address
521 ROCKWOOD CIR, PROVIDENCE, UT 84332-9477
(978) 407-3105
(435) 787-4045
Mailing address
521 ROCKWOOD CIR, PROVIDENCE, UT 84332-9477
(978) 407-3105
(435) 787-4045
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1052248
MA
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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