NPI 1376201483 · live from the CMS NPI Registry
Aba Pediatric Autism Services
Behavior Analyst in Farmington, UT. National Provider Identifier 1376201483, active.
NPI record
| NPI | 1376201483 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 872 Shepard Creek Pkwy, Farmington, UT 84025 |
| Practice phone | 312-802-0967 |
| Enumerated | December 6, 2021 |
| Last updated | March 24, 2025 |
| Authorized official | Annie Goldberg, Owner / Bcba |
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.