Individual
GLENN DYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
10 W BROADWAY FL 7, SALT LAKE CITY, UT 84101-2060
(801) 228-7825
Mailing address
10 W BROADWAY FL 7, SALT LAKE CITY, UT 84101-2060
(801) 228-7825
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/20/2024
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