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Contact Information

CAROL J GROSS, BCBA, LCSW
2978 E LOOKOUT DR
EAGLE MOUNTAIN, UT84005-6057
 Phone: 801-920-8949
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
 

Behavior Analyst

103K00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for CAROL J GROSS · (Female)

NPI Number 1811292998
Status Active
Credentials BCBA, LCSW
Entity Individual
Enumeration date 01/20/2011
Last updated 01/20/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 1-09-5651
  • UT License # 5633817-3501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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