Healthcare Provider Details

I. General information

NPI: 1225953532
Provider Name (Legal Business Name): EXPANDING AUTISTIC BORDERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2146 N 650 E
PROVO UT
84604-1826
US

IV. Provider business mailing address

2146 N 650 E
PROVO UT
84604-1826
US

V. Phone/Fax

Practice location:
  • Phone: 801-604-1455
  • Fax:
Mailing address:
  • Phone: 801-604-1455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MONICA ZAUGG
Title or Position: BEHAVIOR ANALYST
Credential:
Phone: 801-604-1455