| Aba Pediatric Autism Services | |
|
872 Shepard Creek Pkwy Farmington UT 84025-2715 | |
| (312) 802-0967 | |
| Not Available |
| Full Name | Aba Pediatric Autism Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 872 Shepard Creek Pkwy, Farmington, Utah |
| Authorized Official Name and Position | Annie Goldberg (OWNER / BCBA) |
| Authorized Official Contact | 3128020967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Pediatric Autism Services 872 Shepard Creek Pkwy Farmington UT 84025-2715 Ph: (312) 802-0967 | Aba Pediatric Autism Services 872 Shepard Creek Pkwy Farmington UT 84025-2715 Ph: (312) 802-0967 |
| NPI Number | 1376201483 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 12/10/2021 |
| Certification Date | 12/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376201483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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