Organization
UTAH STATE UNIVERSITY
Active
Parent organization
UTAH STATE UNIVERSITY
Other names
Sorenson Center Behavior Support Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
UTAH STATE UNIVERSITY
Authorized official
KATHRYN CLEMENTS (CONTROLLER)
(435) 797-5830
Entity
Organization
Contact information
Practice address
6405 OLD MAIN HILL, LOGAN, UT 84322-0001
(435) 797-0576
(844) 308-5865
Mailing address
6405 OLD MAIN HILL, LOGAN, UT 84322-0001
(435) 797-0576
(844) 308-5865
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447715701
—
UT
Enumeration date
10/07/2019
Last updated
10/07/2019
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