| Kavana Care Ut Llc | |
|
2825 E Cottonwood Pkwy Cottonwood Heights UT 84121-7055 | |
| (163) 719-5005 | |
| Not Available |
| Full Name | Kavana Care Ut Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2825 E Cottonwood Pkwy, Cottonwood Heights, Utah |
| Authorized Official Name and Position | Samuel Tennenbaum (SOLE MBR) |
| Authorized Official Contact | 5163719500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kavana Care Ut Llc 2825 E Cottonwood Pkwy Ste 500 Cottonwood Heights UT 84121-7060 Ph: (732) 339-7360 | Kavana Care Ut Llc 2825 E Cottonwood Pkwy Cottonwood Heights UT 84121-7055 Ph: (163) 719-5005 |
| NPI Number | 1245121243 |
|---|---|
| Provider Enumeration Date | 07/09/2025 |
| Last Update Date | 07/09/2025 |
| Certification Date | 07/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245121243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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