Organization
ALAN TRIBBLE BEHAVIOR ANALYST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN LEE TRIBBLE (OWNER/THERAPIST)
(801) 696-7319
Entity
Organization
Contact information
Practice address
3274 E OAKCLIFF DR, SALT LAKE CITY, UT 84124-5660
(801) 696-7319
Mailing address
3274 E OAKCLIFF DR, SALT LAKE CITY, UT 84124-5660
(801) 696-7319
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225426786
—
UT
Enumeration date
05/06/2019
Last updated
05/06/2019
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