Healthcare Provider Details

I. General information

NPI: 1528930187
Provider Name (Legal Business Name): ASCENT ABA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 W 380 N
MONROE UT
84754-4120
US

IV. Provider business mailing address

347 W 380 N
MONROE UT
84754-4120
US

V. Phone/Fax

Practice location:
  • Phone: 801-349-0616
  • Fax:
Mailing address:
  • Phone: 801-349-0616
  • Fax: 801-935-2667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: PETER CHANDLER
Title or Position: OWNER
Credential: BCBA, LBA
Phone: 801-349-0616