Healthcare Provider Details

I. General information

NPI: 1417800731
Provider Name (Legal Business Name): ALTERITAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 S CARTERVILLE RD
OREM UT
84097-7243
US

IV. Provider business mailing address

336 E UNIVERSITY PKWY # 1077
OREM UT
84058-7602
US

V. Phone/Fax

Practice location:
  • Phone: 360-559-2302
  • Fax: 360-682-5645
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. AARON ROLLAND BURDGE
Title or Position: OWNER
Credential: PH.D.
Phone: 425-753-1813