Individual
ADAM BENJAMIN WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5800 S HIGHLAND DR, SALT LAKE CITY, UT 84121-1359
(801) 272-9980
Mailing address
5800 S HIGHLAND DR, SALT LAKE CITY, UT 84121-1359
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/14/2016
Last updated
09/28/2022
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