Organization · NPI-2
360 Autism Evaluations
Psychologist, Cognitive & Behavioral · Kaysville, UT
NPI number1407650484
StatusActive
Last updated in NPPESApr 1, 2025
Details
- NPI
- 1407650484
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Autism Evaluations
- Organization subpart
- No
- Enumeration date
- Apr 1, 2025
- Certification date
- Apr 1, 2025
- Last updated
- Apr 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TB0200X | Psychologist, Cognitive & Behavioral | – | – | Yes |
Practice location
668 N Stonne LnKaysville, UT 84037-1188
Phone 801-989-7263
Mailing address
668 N Stonne LnKaysville, UT 84037-1188
Phone 801-989-7263
Authorized official
Jesse Yarger
Owner
8019897263
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