Geoffrey Frederic

NPI #1093440034 in Orem, Utah

Provider Information

NPI Number: 1093440034
Entity Type: Individual
Name: Geoffrey Frederic
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 22, 2022
Last Updated: Jul 22, 2022

Practice Location

Address: 475 W 260 N
City: Orem
State: Utah
ZIP Code: 84057-1970
Phone: (801) 221-9930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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