| Mountainstar Behavioral Health Llc | |
|
630 Medical Dr Bountiful UT 84010-4908 | |
| (801) 299-2186 | |
| Not Available |
| Full Name | Mountainstar Behavioral Health Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 630 Medical Dr, Bountiful, Utah |
| Authorized Official Name and Position | Dave Kane (VP OF OPERATIONS) |
| Authorized Official Contact | 8015685936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainstar Behavioral Health Llc 630 Medical Dr Bountiful UT 84010-4908 Ph: (801) 299-2186 | Mountainstar Behavioral Health Llc 630 Medical Dr Bountiful UT 84010-4908 Ph: (801) 299-2186 |
| NPI Number | 1295071694 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 12/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295071694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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