MEDICARE: JOYFUL JOURNEYS THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1699584607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOYFUL JOURNEYS THERAPY LLC

Provider Business Mailing Address
First Line	:	1789 E. LOGAN AVENUE
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108
Country	:	US
Telephone Number	:	801-550-3546
Fax Number	:	833-664-4553

Provider Business Practice Location Address
First Line	:	1789 E. LOGAN AVENUE
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108
Country	:	US
Telephone Number	:	801-407-9422
Fax Number	:	833-664-4553

Authorized Official
Title or Position	:	CHIEF CLINICAL OFFICER, FOUNDER
Name	:	DR. LILLIAN BOB ADOLPHSON
Credential	:	PH.D., BCBA-D, LBA
Telephone Number	:	801-550-3546

Provider Enumeration Date	:	01/03/2025
Last Update Date	:	03/18/2026

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