Healthcare Provider Details

I. General information

NPI: 1407725500
Provider Name (Legal Business Name): POWER ABA OF UTAH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9980 S 300 W STE 200
SANDY UT
84070-3654
US

IV. Provider business mailing address

PO BOX 932
TOMS RIVER NJ
08754-0932
US

V. Phone/Fax

Practice location:
  • Phone: 732-540-7376
  • Fax:
Mailing address:
  • Phone:
  • 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: JAY HIRTH
Title or Position: COO
Credential:
Phone: 347-971-0039