Organization
SANDSTONE AUTISM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERIANNE C ROBINSON BCBA (PROGRAM DIRECTOR)
(208) 709-0682
Entity
Organization
Contact information
Practice address
150 E 400 N STE 100, SALEM, UT 84653-8300
(801) 696-9779
Mailing address
150 E 400 N STE 100, SALEM, UT 84653-8300
(801) 696-9779
(385) 999-6822
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4119457
—
UT
05
—
4332183
—
UT
Enumeration date
05/21/2024
Last updated
03/16/2026
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