| Agape Aba | |
|
868 West 200 South Street B107 American Fork UT 84003-8400 | |
| (385) 230-1684 | |
| Not Available |
| Full Name | Agape Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 868 West 200 South Street, American Fork, Utah |
| Authorized Official Name and Position | Olivia Myers (OWNER, CEO) |
| Authorized Official Contact | 3852301684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Aba 868 West 200 South Street B107 American Fork UT 84003-8567 Ph: (385) 230-1684 | Agape Aba 868 West 200 South Street B107 American Fork UT 84003-8400 Ph: (385) 230-1684 |
| NPI Number | 1699420174 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699420174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
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