Gorham, Tyler Grant

Gorham, Tyler Grant is an individual health care provider with primary practice located at 401 N 2150 W , Cedar City UT 84721-4940. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Gorham, Tyler Grant can be contacted via phone (801) 655-4950.

Contact Information

Primary practice address
401 N 2150 W Cedar City UT 84721-4940
Phone: (801) 655-4950
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Utah
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 14208524-2506 Utah

Profile Details

NPI number 1114638558
LBN Legal business name Gorham, Tyler Grant
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2022
Last updated Mar 6th, 2025 - 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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