Organization
DISCOVERY ABA UT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK BRAVMANN (CONTROLLER)
(718) 675-6957
Entity
Organization
Contact information
Practice address
3556 S 5600 W, SALT LAKE CITY, UT 84120-2815
(718) 675-6957
Mailing address
7 STERLING PL, LAWRENCE, NY 11559-2414
(171) 873-6568
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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