NPI 1811292998

Carol J Gross, BCBALCSW

Practitioner Developmental Therapist Eagle Mountain, UT

Practice location

Address: 2978 E Lookout Dr, Eagle Mountain, UT 84005-6057
Phone: (801) 920-8949

Registered specialties (3)

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

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Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-09-5651

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Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 5633817-3501 (UT)

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Registry record

NPI: 1811292998
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jan 2011
Record last updated: 20 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.