Individual
BROOKE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-3000
Mailing address
501 E CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-3000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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