| Expanding Minds Aba Llc | |
|
1764 W 4800 S Apt J Roy UT 84067-3640 | |
| (435) 513-2075 | |
| Not Available |
| Full Name | Expanding Minds Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1764 W 4800 S Apt J, Roy, Utah |
| Authorized Official Name and Position | Mckenna Marie Douglas (OWNER) |
| Authorized Official Contact | 4355132075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Expanding Minds Aba Llc 1764 W 4800 S Apt J Roy UT 84067-3640 Ph: (435) 513-2075 | Expanding Minds Aba Llc 1764 W 4800 S Apt J Roy UT 84067-3640 Ph: (435) 513-2075 |
| NPI Number | 1093656894 |
|---|---|
| Provider Enumeration Date | 04/03/2026 |
| Last Update Date | 04/03/2026 |
| Certification Date | 04/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093656894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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