| NPI | 1144610502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIKA HOYBJERG Director 801-998-8428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 9830988-2506) |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2016-10-14 |