| Kuska Autism Services | |
|
77 N 1050 E Bountiful UT 84010-2943 | |
| (801) 980-7970 | |
| Not Available |
| Full Name | Kuska Autism Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 77 N 1050 E, Bountiful, Utah |
| Authorized Official Name and Position | James Henry Patino Stubbs (CEO) |
| Authorized Official Contact | 8019807970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kuska Autism Services 77 N 1050 E Bountiful UT 84010-2943 Ph: (801) 980-7970 | Kuska Autism Services 77 N 1050 E Bountiful UT 84010-2943 Ph: (801) 980-7970 |
| NPI Number | 1114595873 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114595873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Secondary |
| 251S00000X | Community/behavioral Health | () | Primary |
| 106S00000X | Behavior Technician | () | Secondary |
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