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Organization
COTTONWOOD BEHAVIORAL COUNSELING LLC
Active
Organization
COTTONWOOD BEHAVIORAL COUNSELING LLC
Active
Other names
ABA Specialists, Cottonwood Behavioral Counseling LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER PERA (PRESIDENT)
(801) 557-1154
Entity
Organization
Contact information
Practice address
6337 S HIGHLAND DR # 227 SUITE 227, SALT LAKE CITY, UT 84121-8558
(385) 313-9001
Mailing address
6337 S HIGHLAND DR # 227, SALT LAKE CITY, UT 84121-2107
(385) 313-9001
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/29/2018
Last updated
10/10/2018
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