MISS Brynelle Etheridge

NPI #1326539511 in Midvale, Utah

Provider Information

NPI Number: 1326539511
Entity Type: Individual
Name: MISS Brynelle Etheridge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 23, 2018
Last Updated: May 23, 2018

Practice Location

Address: 7434 S STATE ST
City: Midvale
State: Utah
ZIP Code: 84047-2014
Phone: (801) 456-9955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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