NPI 1760011555
A Bcba, LLC
Practice location
- Address
- 236 Quail Ridge Dr APT 10, Washington, UT 84780-1483
- Phone
- (909) 276-1072
Authorised official
- Name
- Ashley Rose Koontz
- Title
- Owner/Bcba
- Phone
- (909) 276-1072
Registered specialties (2)
Behavior Analyst
Primary
Behavior Technician
Registry record
- NPI
- 1760011555
- Entity type
- Organization
- NPI issued
- 3 Apr 2020
- Record last updated
- 27 May 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.