ABA Pediatric Autism Services
Organization Active NPI Behavior Analyst · Farmington, UT
NPI 1376201483 · NPPES record last updated Mar 24, 2025
Key facts
- NPI
- 1376201483
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- ABA PEDIATRIC AUTISM SERVICES
- Practice address
- 872 Shepard Creek Pkwy
Farmington, UT 84025-2715 - Phone
- (312) 802-0967
- NPI assigned
- Dec 6, 2021
- Organization subpart
- No
Authorized official
- Name
- Annie Goldberg, MA, BCBA
- Title
- Owner / Bcba
- Phone
- (801) 762-8342
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
872 Shepard Creek Pkwy
Farmington, UT 84025-2715
Mailing address
872 Shepard Creek Pkwy
Farmington, UT 84025-2715
Phone (312) 802-0967
Other providers in Farmington, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.