Advanced Autism Services Ut LLC
Behavior Analyst in Salt Lake City, UT. Organization (NPI-2).
NPI number1730937608
StatusActive
Last updated in NPPESMay 7, 2024
Details
- NPI
- 1730937608
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Autism Services Ut LLC
- Organization subpart
- No
- Enumeration date
- May 7, 2024
- Certification date
- May 7, 2024
- Last updated
- May 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
10 W Broadway Fl 7Salt Lake City, UT 84101-2060
Phone 602-584-9860 · Fax 602-715-1135
Mailing address
Po Box 1335Lakewood, NJ 08701-1011
Phone 602-584-9860 · Fax 602-715-1135
Authorized official
Malkie Hersko
Director
6025849860
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