Sriphongngarm, Vittawat
Sriphongngarm, Vittawat is an sole proprietor health care provider with primary practice located at 12637 S 265 W , Draper UT 84020-5400. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Sriphongngarm, Vittawat can be contacted via phone (801) 998-8428.Contact Information
Primary practice address
12637 S 265 W
Draper UT 84020-5400
Phone: (801) 998-8428
Fax: (801) 407-1611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-19-36623 | Utah |
Profile Details
| NPI number | 1174158687 |
|---|---|
| LBN Legal business name | Sriphongngarm, Vittawat |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 4th, 2020 |
| Last updated | Oct 22nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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