Organization
AUTISM ASSEMENT TREATMENT PROGRAM ADULT
Active
Parent organization
BEHAVIORAL HEALTH CLINICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEHAVIORAL HEALTH CLINICS
Authorized official
MS. KIM TREADWAY (BILLING SPECIALIST)
(801) 581-8110
Entity
Organization
Contact information
Practice address
650 S KOMAS, SUITE 200, SALT LAKE CITY, UT 84108
(801) 581-8110
Mailing address
650 S KOMAS, SUITE 200, SALT LAKE CITY, UT 84108
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/16/2015
Last updated
05/01/2015
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