Organization
ABA MAGICAL MOMENTS UT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB KLEIN (DIRECTOR OF OPERATIONS)
(317) 648-9509
Entity
Organization
Contact information
Practice address
13894 S BANGERTER PKWY STE 200, DRAPER, UT 84020-5320
(317) 648-9509
Mailing address
13894 S BANGERTER PKWY STE 200, DRAPER, UT 84020-5320
(317) 648-9509
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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