Healthcare Provider Details

I. General information

NPI: 1568375129
Provider Name (Legal Business Name): GOLDEN TOUCH ABA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 E COTTONWOOD PKWY STE 500
SALT LAKE CITY UT
84121-7060
US

IV. Provider business mailing address

1816 E RAINBOW BRIDGE DR
EAGLE MOUNTAIN UT
84005-3004
US

V. Phone/Fax

Practice location:
  • Phone: 870-577-5388
  • Fax:
Mailing address:
  • Phone: 870-577-5388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name: GAVIN LEE DICKEY
Title or Position: AEHAVIOR TECHNICIAN
Credential:
Phone: 870-577-5388