Individual
MR. NIYONGABO AIMABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 W SOUTH TEMPLE, SALT LAKE CITY, UT 84104-1007
(801) 666-1774
Mailing address
650 W SOUTH TEMPLE, SALT LAKE CITY, UT 84104-1007
(801) 666-1774
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000
I DONT HAVE MEDICARE
—
Enumeration date
10/09/2020
Last updated
07/21/2022
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