Individual
KASEY D CORBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Contact information
Practice address
327 W GORDON AVE STE 2, LAYTON, UT 84041-2381
(801) 683-1062
Mailing address
355 W 920 N APT C326, OREM, UT 84057-3271
(435) 590-2808
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33245
UT
Other
Enumeration date
06/27/2019
Last updated
11/27/2023
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