Individual
DEVANIO COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6405 OLD MAIN HILL, LOGAN, UT 84322-0001
(435) 797-3403
Mailing address
6405 OLD MAIN HILL, LOGAN, UT 84322-0001
(435) 797-3403
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-19-9989
CA
Other
Enumeration date
03/29/2018
Last updated
07/13/2023
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