Organization
ADVANCEABLE UT ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WASSNER (CEO)
(646) 873-0294
Entity
Organization
Contact information
Practice address
6543 N LANDMARK DR, PARK CITY, UT 84098-5990
(516) 855-5504
Mailing address
1007 BROADWAY, WOODMERE, NY 11598-1227
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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