Healthcare Provider Details

I. General information

NPI: 1083489504
Provider Name (Legal Business Name): BRIGHTER STRIDES ABA UT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2023
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1536 WOODLAND PARK DR STE 230
LAYTON UT
84041-5750
US

IV. Provider business mailing address

1536 WOODLAND PARK DR STE 230
LAYTON UT
84041-5750
US

V. Phone/Fax

Practice location:
  • Phone: 980-317-8260
  • Fax:
Mailing address:
  • Phone: 770-200-5155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALEX FRANCIS
Title or Position: DIRECTOR
Credential:
Phone: 770-200-5155