| Mebe Utah, Llc | |
|
3556 S 5600 W Salt Lake City UT 84120-2815 | |
| (619) 795-9925 | |
| Not Available |
| Full Name | Mebe Utah, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3556 S 5600 W, Salt Lake City, Utah |
| Authorized Official Name and Position | Esteban Gonzalez (CONTRACTS AND CREDENTIALING SPECIAL) |
| Authorized Official Contact | 6193230832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mebe Utah, Llc 8885 Rio San Diego Dr Ste 340 San Diego CA 92108-1669 Ph: (619) 795-9925 | Mebe Utah, Llc 3556 S 5600 W Salt Lake City UT 84120-2815 Ph: (619) 795-9925 |
| NPI Number | 1427641364 |
|---|---|
| Provider Enumeration Date | 02/11/2021 |
| Last Update Date | 02/11/2021 |
| Certification Date | 02/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427641364 | NPI | - | NPPES |
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