Healthcare Provider Details

I. General information

NPI: 1306573993
Provider Name (Legal Business Name): SPERO ABA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 10/13/2023
Certification Date: 10/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3196 S 3210 E
ST GEORGE UT
84790-1784
US

IV. Provider business mailing address

3196 S 3210 E
ST GEORGE UT
84790-1784
US

V. Phone/Fax

Practice location:
  • Phone: 435-261-3118
  • Fax:
Mailing address:
  • Phone: 435-200-9949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE NADALSKY
Title or Position: FOUNDER
Credential: BCBA, LBA, SSW
Phone: 435-200-9949