| NPI | 1841917218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN AARON BENSON Owner 801-602-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |