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Organization

SCENIC VIEW ACADEMY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JARED DAVIS (HUMAN RESOURCES)
(801) 226-2550
Entity
Organization

Contact information

Practice address
5455 RIVER RUN DR, PROVO, UT 84604-7726
(801) 226-2550
Mailing address
5455 RIVER RUN DR, PROVO, UT 84604-7726

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
323P00000X
Psychiatric Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51120
STATE OF UTAH DEPARTMENT OF HUMAN SERVICES OFFICE OF LICENSING
UT
01
51121
STATE OF UTAH DEPARTMENT OF HUMAN SERVICES OFFICE OF LICENSING
UT
01
51122
STATE OF UTAH DEPARTMENT OF HUMAN SERVICES OFFICE OF LICENSING
UT
Enumeration date
02/12/2019
Last updated
01/15/2026
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