Healthcare Provider Details

I. General information

NPI: 1821871146
Provider Name (Legal Business Name): ABOVE AND BEYOND ABA UT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6949 S HIGH TECH DR
MIDVALE UT
84047-3705
US

IV. Provider business mailing address

7533 S CENTER VIEW CT STE R
WEST JORDAN UT
84084-5526
US

V. Phone/Fax

Practice location:
  • Phone: 801-630-2040
  • Fax:
Mailing address:
  • Phone: 801-630-2040
  • 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: MATT ROKOWSKY
Title or Position: MANAGER
Credential:
Phone: 801-630-2040