NPI 1144589110 · live from the CMS NPI Registry
Autism Behavior Treatment Center
Behavior Analyst in Draper, UT. National Provider Identifier 1144589110, active.
NPI record
| NPI | 1144589110 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 12222 S 1000 E, Draper, UT 84020 |
| Practice phone | 801-572-5727 |
| Enumerated | May 11, 2012 |
| Last updated | May 11, 2012 |
| Authorized official | Laura Roberts, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.