Individual
MR. BRYANT HOUSTON MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIGH SCHOOL DIPLOMA
Contact information
Practice address
475 W 260 N, OREM, UT 84057-1970
(801) 221-9930
Mailing address
475 W 260 N, OREM, UT 84057-1970
(801) 221-9930
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396085718
—
UT
Enumeration date
01/31/2023
Last updated
01/31/2023
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