Healthcare Provider Details

I. General information

NPI: 1437932910
Provider Name (Legal Business Name): ABA GOLDEN STEPS UT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2023
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 SYLVIAN AVE
ENGLEWOOD NJ
07632
US

IV. Provider business mailing address

2825 E COTTONWOOD PKWY STE 500
COTTONWOOD HEIGHTS UT
84121-7060
US

V. Phone/Fax

Practice location:
  • Phone: 786-539-2070
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: YISROEL WOLMARK
Title or Position: CEO
Credential:
Phone: 786-539-2070