Alex Bullock

NPI #1639595515 in West Jordan, Utah

Provider Information

NPI Number: 1639595515
Entity Type: Individual
Name: Alex Bullock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 14, 2014
Last Updated: Mar 14, 2014

Practice Location

Address: 5500 W BAGLEY PARK RD
City: West Jordan
State: Utah
ZIP Code: 84081-5697
Phone: (801) 282-4315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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