Tim Burgoyne

NPI #1255095576 in Logan, Utah

Provider Information

NPI Number
1255095576
Entity Type
Individual
Name
Tim Burgoyne
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Oct 22, 2021
Last Updated
Oct 22, 2021

Practice Location

Address
625 W 200 N
Address 2
APT A306
City
Logan
State
Utah
ZIP Code
84321
Phone
(801) 695-8177

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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