Individual
BRETT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8031 S 700 E, SANDY, UT 84070-0555
(385) 695-2203
Mailing address
862 S MAIN ST STE 4, BRIGHAM CITY, UT 84302-3389
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12548613-2506
UT
Other
Enumeration date
02/24/2018
Last updated
11/10/2021
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