NPI 1841075249 · live from the CMS NPI Registry
Aba Endeavor Ut LLC
Behavior Analyst in Provo, UT. National Provider Identifier 1841075249, active.
NPI record
| NPI | 1841075249 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 971 S University Ave # Set1091, Provo, UT 84601 |
| Practice phone | 801-441-6780 |
| Mailing address | 7257 N Lincoln Ave, Lincolnwood, IL 60712 |
| Enumerated | August 25, 2023 |
| Last updated | August 25, 2023 |
| Authorized official | Judah Kanowitz, Managing Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.