GRACE TEMPLE

Behavior Technician

Active Individual
NPI: 1720686074

Practice Address

606 W 1720 N APT 206
Provo, UT 84604

Phone: (847) 826-3883

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes 40938791 (TX)

Frequently Asked Questions

NPI 1720686074 is the National Provider Identifier for GRACE TEMPLE, a Behavior Technician provider located in Provo, UT. This NPI was enumerated on October 9, 2020.
GRACE TEMPLE practices at 606 W 1720 N APT 206, Provo, UT 84604.

Quick Facts

NPI
1720686074
Type
Individual
Enumerated
Oct 9, 2020
Last Updated
Oct 9, 2020

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