Most Relevant Information
Provider Data
| NPI Number: | 1003488388 |
| Provider Name: | JOSEPH BALAICH RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/15/2021 |
| Last Updated: | 07/15/2021 |
Provider Practice Location
209 E GORDON AVE
LAYTON
UT
840412341
Practice Location Phone/Fax
| Phone: | 8012001444 |
| Fax: | 8015135608 |
Provider Mailing Location
209 E GORDON AVE
LAYTON
UT
840412341
Provider Mailing Phone/Fax
| Phone: | 8012001444 |
| Fax: | 8015135608 |