| Nova Supports, Llc | |
|
143 W 450 N Santaquin UT 84655-7919 | |
| (801) 888-3638 | |
| Not Available |
| Full Name | Nova Supports, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 143 W 450 N, Santaquin, Utah |
| Authorized Official Name and Position | Kylan Heiner (OWNER) |
| Authorized Official Contact | 8018883638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Supports, Llc 143 W 450 N Santaquin UT 84655-7919 Ph: (801) 888-3638 | Nova Supports, Llc 143 W 450 N Santaquin UT 84655-7919 Ph: (801) 888-3638 |
| NPI Number | 1205699782 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205699782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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