Organization
THE HIVE SOCIAL ACTIVITY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA HAYNER BCBA (PRESIDENT)
(951) 541-3043
Entity
Organization
Contact information
Practice address
10298 S OTTER TRAIL DR, SOUTH JORDAN, UT 84009-6109
(951) 541-3043
Mailing address
10298 S OTTER TRAIL DR, SOUTH JORDAN, UT 84009-6109
(951) 541-3043
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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