Healthcare Provider Details

I. General information

NPI: 1083541130
Provider Name (Legal Business Name): BLUE HIVE UTAH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 W BROADWAY
SALT LAKE CITY UT
84101-2002
US

IV. Provider business mailing address

680 CENTRAL AVE UNIT 107
CEDARHURST NY
11516-2329
US

V. Phone/Fax

Practice location:
  • Phone: 800-440-2445
  • Fax:
Mailing address:
  • Phone: 800-440-2445
  • 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: YEHUDAH NEWMAN
Title or Position: OWNER
Credential:
Phone: 800-440-2445