Organization
NORTH EASTERN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE CRABB (OWNER)
(801) 802-8024
Entity
Organization
Contact information
Practice address
278 MOUNTAIN WAY DR, OREM, UT 84058-5227
(801) 802-8024
Mailing address
278 MOUNTAIN WAY DR, OREM, UT 84058-5227
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
4776276-0142
UT
Other
Enumeration date
03/30/2007
Last updated
06/05/2023
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