| Heartwise Support | |
|
460 W 50 N Ste 5-120 Salt Lake City UT 84101-1050 | |
| (718) 400-9077 | |
| Not Available |
| Full Name | Heartwise Support |
|---|---|
| Speciality | Behavior Analyst |
| Location | 460 W 50 N Ste 5-120, Salt Lake City, Utah |
| Authorized Official Name and Position | Zalmen Lovi (CEO) |
| Authorized Official Contact | 7184009077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartwise Support 4403 15th Ave Ste 499 Brooklyn NY 11219-1604 Ph: (718) 400-9077 | Heartwise Support 460 W 50 N Ste 5-120 Salt Lake City UT 84101-1050 Ph: (718) 400-9077 |
| NPI Number | 1417784737 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417784737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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