| NPI | 1790328359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBIE NIEDERHAUSER Director/Owner 801-913-9963 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |