Individual
BRANDON SPATIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 N 2350 W, FARR WEST, UT 84404-5177
(801) 452-1940
Mailing address
2811 N 2350 W, FARR WEST, UT 84404-5177
(801) 452-1940
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
06/18/2019
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