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Tyson Burningham

Behavior Technician in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1497318331
StatusActive
Last updated in NPPESApr 16, 2019

Details

NPI
1497318331
Entity type
Individual (NPI-1)
Name
Tyson Burningham
Sex
Male
Sole proprietor
No
Enumeration date
Apr 16, 2019
Last updated
Apr 16, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

515 S 700 E Ste 2a
Salt Lake City, UT 84102-2855

Phone 801-953-2359

Mailing address

1405 S 425 W
Bountiful, UT 84010-7374

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