Braden Favero

NPI #1649706698 in Roy, Utah

Provider Information

NPI Number: 1649706698
Entity Type: Individual
Name: Braden Favero
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 11, 2017
Last Updated: May 11, 2017

Practice Location

Address: 2563 W 5800 S
City: Roy
State: Utah
ZIP Code: 84067-1334
Phone: (801) 991-0579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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