NPI 1730937608 · live from the CMS NPI Registry
Advanced Autism Services Ut LLC
Behavior Analyst in Salt Lake City, UT. National Provider Identifier 1730937608, active.
NPI record
| NPI | 1730937608 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 10 W Broadway Fl 7, Salt Lake City, UT 84101 |
| Practice phone | 602-584-9860 |
| Mailing address | Po Box 1335, Lakewood, NJ 08701 |
| Enumerated | May 7, 2024 |
| Last updated | May 7, 2024 |
| Authorized official | Malkie Hersko, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
| Behavior Technician | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.