Organization
ABA TOTAL CARE UT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN KESHERIM (PRESIDENT)
(404) 400-5004
Entity
Organization
Contact information
Practice address
1140 36TH ST STE 157, OGDEN, UT 84403-2050
(404) 400-5004
Mailing address
1140 36TH ST STE 157, OGDEN, UT 84403-2050
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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