Organization
ABA PEDIATRIC AUTISM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE GOLDBERG MA, BCBA (OWNER / BCBA)
(801) 762-8342
Entity
Organization
Contact information
Practice address
872 SHEPARD CREEK PKWY, FARMINGTON, UT 84025-2715
(312) 802-0967
Mailing address
872 SHEPARD CREEK PKWY, FARMINGTON, UT 84025-2715
(312) 802-0967
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
03/24/2025
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