Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1013344043 |
---|---|
Provider Name | Landon Dale Francom |
First Address | Salt Lake City, UT 84121-1359 |
Second Address | Salt Lake City, UT 84121-1359 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2013 |
Last Update Date | 04/10/2013 |