Healthcare Provider Details

I. General information

NPI: 1003587890
Provider Name (Legal Business Name): BALANCE FAMILY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2021
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 E ABAJO PEAK DR
EAGLE MOUNTAIN UT
84005-5270
US

IV. Provider business mailing address

391 E ABAJO PEAK DR
EAGLE MOUNTAIN UT
84005-5270
US

V. Phone/Fax

Practice location:
  • Phone: 801-477-5177
  • Fax:
Mailing address:
  • Phone: 801-556-4754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: ZACHARY SMITH
Title or Position: PRESIDENT
Credential: M.ED, BCBA, LBA
Phone: 801-556-4754