OrganizationActive
Advanced Autism Services Ut LLC
NPI 1730937608 · Behavior Analyst · Salt Lake City, UT
Provider details
- NPI number
- 1730937608
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Malkie Hersko, Director(602) 584-9860
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Practice location
10 W Broadway Fl 7
Salt Lake City, UT 84101-2060
Phone: (602) 584-9860
Fax: (602) 715-1135
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1335
Lakewood, NJ 08701-1011
Registry dates
- Enumerated
- 2024-05-07
- Last updated
- 2024-05-07
- Certified
- 2024-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.