Charles Aceves

Individual provider Active NPI Behavior Technician · Salt Lake City, UT

NPI 1962215459 · NPPES record last updated Jan 29, 2025

Key facts

NPI
1962215459
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
240 Morris Ave Ste 100
Salt Lake City, UT 84115-3278
Phone
(801) 935-4171
NPI assigned
Jan 29, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

240 Morris Ave Ste 100
Salt Lake City, UT 84115-3278

Mailing address

16255 Ventura Blvd Ste 830
Encino, CA 91436-2317

Other providers in Salt Lake City, UT

All providers in Salt Lake City, UT · Behavior Technician in Utah

Sources for this page

Verify at the official NPI Registry.