Wellformed AI

NPI 1932467776 · live from the CMS NPI Registry

Lillian Bob Adolphson, BCBA-D

Behavior Analyst in Salt Lake City, UT. National Provider Identifier 1932467776, active.

NPI record

NPI1932467776 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1789 E Logan Ave, Salt Lake City, UT 84108
Practice phone801-550-3546
EnumeratedApril 30, 2012
Last updatedSeptember 22, 2022
Sole proprietorNo
Other namesSarah Adolphson

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000X800311-2506 (UT)
Social Worker104100000X311800-3503 (UT)
Emergency Medical Technician, Intermediate146M00000X2022037088 (UT)
Behavior Analyst primary103K00000X1-11-8304

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.