Individual
GRACE JO LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12637 S 265 W, DRAPER, UT 84020-5400
(801) 998-8428
Mailing address
11410 S CHERRY HILL DR, SANDY, UT 84094-5675
(801) 864-8452
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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