| Aba Endeavor Ut Llc | |
|
971 S University Ave # Set1091 Provo UT 84601-5971 | |
| (801) 441-6780 | |
| (773) 305-5551 |
| Full Name | Aba Endeavor Ut Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 971 S University Ave # Set1091, Provo, Utah |
| Authorized Official Name and Position | Judah Kanowitz (MANAGING PARTNER) |
| Authorized Official Contact | 9172755134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Endeavor Ut Llc 7257 N Lincoln Ave Lincolnwood IL 60712-1810 Ph: () - | Aba Endeavor Ut Llc 971 S University Ave # Set1091 Provo UT 84601-5971 Ph: (801) 441-6780 |
| NPI Number | 1841075249 |
|---|---|
| Provider Enumeration Date | 08/25/2023 |
| Last Update Date | 08/25/2023 |
| Certification Date | 08/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841075249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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