Healthcare Provider Details
I. General information
NPI: 1700710266
Provider Name (Legal Business Name): ASSENT ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
945 E HERCULES CT
LAYTON UT
84040-5786
US
IV. Provider business mailing address
945 E HERCULES CT
LAYTON UT
84040-5786
US
V. Phone/Fax
- Phone: 801-814-9701
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HOUSTON
LACEY
Title or Position: OWNER BCBA
Credential: MA, LBA, BCBA
Phone: 801-814-9701