Organization
BRIGHT MINDS DEVELOPMENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN AARON BENSON M.ED., CCC-SLP (OWNER)
(801) 602-9160
Entity
Organization
Contact information
Practice address
422 E 2900 S, VERNAL, UT 84078-8858
(801) 602-9160
Mailing address
422 E 2900 S, VERNAL, UT 84078-8858
(801) 602-9160
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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