Individual
JOSHUA KINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 S 700 E, SALT LAKE CITY, UT 84102
(253) 525-1727
Mailing address
7434 S STATE ST, MIDVALE, UT 84047-2014
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB274434
UT
Other
Enumeration date
08/24/2016
Last updated
07/24/2018
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