AUTISM ASSESSMENT AND THERAPY CENTER, LLC (NPI# 1467997932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467997932 |
| Entity Type | Organization |
| Organization Name | AUTISM ASSESSMENT AND THERAPY CENTER, LLC |
| Practice Address |
378 E Nagano Dr Saint George UT 84790-4302 |
| Practice Telephone | 4357058664 |
| Mailing Telephone | 4357058664 |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |
| Authorized Official Name | KYLE DON BRINGHURST (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4357058664 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 7089681-3501 | UT | Agencies |
| Street Address |
378 E NAGANO DR |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84790-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609338854 | Washington County Court Support Services | Community/Behavioral Health | 87 N 200 E Ste 302, Saint George, UT 84770-5375 | 2019-04-04 |
| 1508368465 | Southwest Spine and Pain Care Specialists LLC | Community/Behavioral Health | 1085 S Bluff St Ste 200, Saint George, UT 84770-5245 | 2018-03-06 |
| 1932571015 | Sage Circle Counseling Center | Community/Behavioral Health | 225 N Bluff St, Suite #5, Saint George, UT 84770-4566 | 2015-10-28 |
| 1659535243 | Ikae, Inc | Community/Behavioral Health | 640 E 700 S, Suite 207, Saint George, UT 84770-4023 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571306 | Alliance Counseling Utah | Community/Behavioral Health | 47 W 9000 S Ste 1, Sandy, UT 84070-2043 | 2020-08-31 |
| 1609489939 | The Arise Society | Community/Behavioral Health | 784 S River Ridge Ln, Spanish Fork, UT 84660-4712 | 2020-08-26 |
| 1639789464 | Enduring Connections Counseling Services LLC | Community/Behavioral Health | 4659 S Highland Dr, Salt Lake City, UT 84117-5137 | 2020-08-06 |
| 1841809324 | Mind and Matter Therapy | Community/Behavioral Health | 75 E Fort Union Blvd # 116, Midvale, UT 84047-1531 | 2020-07-30 |
| 1952927410 | Harmony Therapy Center LLC | Community/Behavioral Health | 752 E 1300 N, Pleasant Grove, UT 84062-1995 | 2020-06-22 |
| 1033733001 | Jessica Jo Pllc | Community/Behavioral Health | 3527 S 1200 E, Salt Lake City, UT 84106-2425 | 2020-06-04 |
| 1407479538 | Onwardlife | Community/Behavioral Health | 2998 E 9690 S, Sandy, UT 84092-3542 | 2020-05-23 |
| 1467071407 | Cancer Wellness House, Inc. | Community/Behavioral Health | 59 S 1100 E, Salt Lake City, UT 84102-1508 | 2020-04-09 |
| 1346875382 | Recovery Innovations Inc | Community/Behavioral Health | 2411 S 1070 W Ste A, West Valley City, UT 84119-1569 | 2020-03-10 |
| 1144854944 | Brenna M. Schaffer | Community/Behavioral Health | 950 E 600 S, Heber City, UT 84032-4469 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
| City | SAINT GEORGE |
| Zip Code | 84790 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.