NPI 1144610502 · live from the CMS NPI Registry
Autism & Behavioral Intervention, LLC
Behavior Analyst in Draper, UT. National Provider Identifier 1144610502, active.
NPI record
| NPI | 1144610502 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 12350 S 800 E, Draper, UT 84020 |
| Practice phone | 801-998-8428 |
| Enumerated | January 23, 2015 |
| Last updated | October 14, 2016 |
| Authorized official | Anika Hoybjerg, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health | 251S00000X | — |
| Early Intervention Provider Agency | 252Y00000X | — |
| Behavior Analyst primary | 103K00000X | 9830988-2506 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.