| Aba Bedrock Utah Llc | |
|
10 W Broadway Fl 7 Salt Lake City UT 84101-2060 | |
| (347) 461-0983 | |
| Not Available |
| Full Name | Aba Bedrock Utah Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10 W Broadway Fl 7, Salt Lake City, Utah |
| Authorized Official Name and Position | Mayer Kulefsky (COO) |
| Authorized Official Contact | 3474610983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Bedrock Utah Llc 10 W Broadway Fl 7 Salt Lake City UT 84101-2060 Ph: (347) 461-0983 | Aba Bedrock Utah Llc 10 W Broadway Fl 7 Salt Lake City UT 84101-2060 Ph: (347) 461-0983 |
| NPI Number | 1417764242 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417764242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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