| Utah Autism Care Llc | |
|
180 N University Ave Provo UT 84601-5647 | |
| (845) 327-7111 | |
| Not Available |
| Full Name | Utah Autism Care Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 180 N University Ave, Provo, Utah |
| Authorized Official Name and Position | Salomon Parnes (SOLE MBR) |
| Authorized Official Contact | 8453277111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Autism Care Llc 978 Route 45 Ste 106 Pomona NY 10970-3521 Ph: () - | Utah Autism Care Llc 180 N University Ave Provo UT 84601-5647 Ph: (845) 327-7111 |
| NPI Number | 1992542930 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 08/01/2024 |
| Certification Date | 08/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992542930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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