| Aim-autism In Motion, Corp | |
|
2811 N 2350 W Farr West UT 84404-5177 | |
| (801) 452-1940 | |
| Not Available |
| Full Name | Aim-autism In Motion, Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2811 N 2350 W, Farr West, Utah |
| Authorized Official Name and Position | Gennie Tucker (PRESIDENT) |
| Authorized Official Contact | 8014521940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aim-autism In Motion, Corp 2811 N 2350 W Farr West UT 84404-5177 Ph: (801) 452-1940 | Aim-autism In Motion, Corp 2811 N 2350 W Farr West UT 84404-5177 Ph: (801) 452-1940 |
| NPI Number | 1407342058 |
|---|---|
| Provider Enumeration Date | 07/06/2018 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407342058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 74547942506 (Utah) | Primary |
| 1041C0700X | Social Worker - Clinical | 74547943501 (Utah) | Secondary |
Tree Of Life Childrens Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1812 N 2000 W, Farr West, UT 84404 Phone: 801-710-0421 |