Individual provider · Type 1 NPI
Carol J. Gross, BCBA, LCSW
Developmental Therapist · Eagle Mountain, UT
Practice location
2978 E Lookout Dr
Eagle Mountain, UT 84005-6057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
| Behavior Analyst | 103K00000X | 1-09-5651 |
| Clinical Social Worker | 1041C0700X | 5633817-3501 (UT) |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
About NPI 1811292998
Carol J. Gross, BCBA, LCSW's National Provider Identifier is 1811292998, issued on Jan 20, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Eagle Mountain, UT. The record was last updated on Jan 20, 2011.