Organization
ABA ENDEAVOR UT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDAH KANOWITZ (MANAGING PARTNER)
(917) 275-5134
Entity
Organization
Contact information
Practice address
971 S UNIVERSITY AVE # SET1091, PROVO, UT 84601-5971
(801) 441-6780
(773) 305-5551
Mailing address
7257 N LINCOLN AVE, LINCOLNWOOD, IL 60712-1810
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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