Brookelie Mary Baum

NPI #1285591636 in Stansbury Park, Utah

Provider Information

NPI Number: 1285591636
Entity Type: Individual
Name: Brookelie Mary Baum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 7, 2026
Last Updated: Jan 7, 2026

Practice Location

Address: 128 COUNTRY CLUB DR
City: Stansbury Park
State: Utah
ZIP Code: 84074-9143
Phone: (208) 703-1222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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