Healthcare Provider Details

I. General information

NPI: 1760340764
Provider Name (Legal Business Name): AUT ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 LYONS AVE
ELY NV
89301-1625
US

IV. Provider business mailing address

1065 LYONS AVE
ELY NV
89301-1625
US

V. Phone/Fax

Practice location:
  • Phone: 775-293-2122
  • Fax:
Mailing address:
  • Phone: 775-293-2122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: PAULA MOORE
Title or Position: CO-OWNER
Credential: RBT
Phone: 775-293-2122