NPI 1508770330 · live from the CMS NPI Registry
Bedrock Behavior Change LLC
Behavior Analyst in Moab, UT. National Provider Identifier 1508770330, active.
NPI record
| NPI | 1508770330 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3686 Spanish Valley Dr Unit E3, Moab, UT 84532 |
| Practice phone | 845-325-7593 |
| Enumerated | September 29, 2026 |
| Last updated | September 29, 2026 |
| Authorized official | Lindsay Trudeau, 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.