| Neurobehavior Home Program | |
|
240 Morris Ave Ste 400 Salt Lake City UT 84115-3295 | |
| (801) 587-6336 | |
| Not Available |
| Full Name | Neurobehavior Home Program |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 240 Morris Ave Ste 400, Salt Lake City, Utah |
| Authorized Official Name and Position | Samuel Finlayson (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 8015876336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurobehavior Home Program Po Box 841450 Los Angeles CA 90084-1450 Ph: (801) 213-3900 | Neurobehavior Home Program 240 Morris Ave Ste 400 Salt Lake City UT 84115-3295 Ph: (801) 587-6336 |
| NPI Number | 1962866095 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/13/2022 |
| Certification Date | 04/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962866095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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