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Organization

AIM-AUTISM IN MOTION, CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GENNIE TUCKER LBA, LCSW (PRESIDENT)
(801) 452-1940
Entity
Organization

Contact information

Practice address
2811 N 2350 W, FARR WEST, UT 84404-5177
(801) 452-1940
Mailing address
2811 N 2350 W, FARR WEST, UT 84404-5177
(801) 452-1940

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
74547942506
UT
1041C0700X
Clinical Social Worker
74547943501
UT

Other

Enumeration date
07/06/2018
Last updated
04/28/2026
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