Kavana Care Ut LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

KAVANA CARE UT LLC

Practice address

2825 E Cottonwood Pkwy
Cottonwood Heights, UT 84121-7055

Phone

(163) 719-5005

NPI assigned

Jul 9, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Tennenbaum

Title

Sole MBR

Phone

(516) 371-9500

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1245121243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 E COTTONWOOD PKWY STE 500",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841217060",
            "telephone_number": "732-339-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 E COTTONWOOD PKWY",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841217055",
            "telephone_number": "163-719-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVANA CARE UT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "TENNENBAUM",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "516-371-9500"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.