Edric Thorup

NPI #1124726609 in Spanish Fork, Utah

Provider Information

NPI Number: 1124726609
Entity Type: Individual
Name: Edric Thorup
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 23, 2023
Last Updated: Dec 12, 2023

Practice Location

Address: 1570 N MAIN ST
City: Spanish Fork
State: Utah
ZIP Code: 84660-1006
Phone: (801) 210-9319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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