NPI | 1194223867 |
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Former Legal Business Name | ABA SPECIALISTS |
Former Legal Business Name | COTTONWOOD BEHAVIORAL COUNSELING LLC |
Entity Type | Organization |
Authorized Contact | WALTER PERA President 801-557-1154 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2018-01-29 |
Last Update Date | 2018-10-10 |