ANTHONY JACK BUCKLER
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1124981899- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 10 W BROADWAY STE 700, SALT LAKE CITY, UT, 841012060
- Phone
- (385) 494-3500
Specialties & Taxonomies
Behavior Technician
Primary License: UT #RBT-25-421812