Zachary Gibson

NPI #1417603481 in Draper, Utah

Provider Information

NPI Number: 1417603481
Entity Type: Individual
Name: Zachary Gibson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 28, 2022
Last Updated: Feb 28, 2022

Practice Location

Address: 12222 S 1000 E STE 3
City: Draper
State: Utah
ZIP Code: 84020-3203
Phone: (801) 987-3592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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