| Aspen Aba Llc | |
|
11731 S Canberra Dr Sandy UT 84094-5694 | |
| (325) 642-8586 | |
| Not Available |
| Full Name | Aspen Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11731 S Canberra Dr, Sandy, Utah |
| Authorized Official Name and Position | Amanda Garrett-baker (CEO/OWNER) |
| Authorized Official Contact | 3256428586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Aba Llc 11731 S Canberra Dr Sandy UT 84094-5694 Ph: (325) 642-8586 | Aspen Aba Llc 11731 S Canberra Dr Sandy UT 84094-5694 Ph: (325) 642-8586 |
| NPI Number | 1770353385 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770353385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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