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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