Healthcare Provider Details
I. General information
NPI: 1386520799
Provider Name (Legal Business Name): ALOHA BEHAVIOR CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
610 EAST 2ND STREET
SALISBURY MO
65281
US
IV. Provider business mailing address
1042 E FORT UNION BLVD # 481
MIDVALE UT
84047-1800
US
V. Phone/Fax
- Phone: 801-808-8347
- Fax:
- Phone: 801-808-8347
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
EMMANUEL
AZIKE
Title or Position: OWNER
Credential: BCBA
Phone: 801-808-8347