Lillian Bob Adolphson, BCBA-D
Behavior Analyst in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1932467776
StatusActive
Last updated in NPPESSep 22, 2022
Details
- NPI
- 1932467776
- Entity type
- Individual (NPI-1)
- Name
- Lillian Bob Adolphson
- Credential
- BCBA-D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2012
- Certification date
- Sep 22, 2022
- Last updated
- Sep 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-11-8304 | – | Yes |
| 103K00000X | Behavior Analyst | 800311-2506 | UT | |
| 104100000X | Social Worker | 311800-3503 | UT | |
| 146M00000X | Emergency Medical Technician, Intermediate | 2022037088 | UT |
Other names
- Sarah Lillian Adolphson (Former Name)
Practice location
1789 E Logan AveSalt Lake City, UT 84108-2629
Phone 801-550-3546
Mailing address
1789 E Logan AveSalt Lake City, UT 84108-2629
Phone 801-550-3546
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