Individual
ALEX EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
4933 S 1500 W STE 210, RIVERDALE, UT 84405-7738
(801) 655-4950
Mailing address
1443 W 800 N STE 103, OREM, UT 84057-2878
(801) 655-4950
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11833527-2506
UT
Other
Enumeration date
05/26/2016
Last updated
07/01/2020
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