Organization
AUTISM TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL POTTER BCBA (AUTISM TEAM OWNER)
(949) 767-7196
Entity
Organization
Contact information
Practice address
311 E VERANO WAY, SARATOGA SPRINGS, UT 84045-5183
(949) 767-7196
Mailing address
311 E VERANO WAY, SARATOGA SPRINGS, UT 84045-5183
(949) 767-7196
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
08/26/2024
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