| NPI | 1922859875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRELLA PETERSEN Owner / Executive Director 801-635-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 106E00000X Assistant Behavior Analyst | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-04-02 |