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General NPI Number Information
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NPI Number | 1477402709
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Entity Type | Organization
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Legal Business Name | ACUTE BEHAVIOR ACADEMY LLC
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 411 W 100 N UNIT 64
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City | PROVIDENCE
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State | UT
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Zip | 84332-6404
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Country | US
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Telephone | 435-274-7656
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Fax | 435-645-7073
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Provider Business Mailing Address
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Address Line | PO BOX 64
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City | PROVIDENCE
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State | UT
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Zip | 84332-0064
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Country | US
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Telephone | 435-274-7656
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Fax | 435-645-7073
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY BUTTARS
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Credential | BCBA
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Telephone | 435-274-7656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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