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Organization
ABA BEDROCK UTAH LLC
Active
Organization
ABA BEDROCK UTAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYER KULEFSKY (COO)
(347) 461-0983
Entity
Organization
Contact information
Practice address
10 W BROADWAY FL 7, SALT LAKE CITY, UT 84101-2060
(347) 461-0983
Mailing address
10 W BROADWAY FL 7, SALT LAKE CITY, UT 84101-2060
(347) 461-0983
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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