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NPI 1750847000

NPI 1750847000 : SCENIC VIEW ACADEMY, INC. : PROVO, UT

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General NPI Number Information
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    NPI Number           |    1750847000
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    Entity Type          |    Organization 
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    Legal Business Name  |    SCENIC VIEW ACADEMY, INC. 
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Dates
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    Enumeration Date     |    02/12/2019
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    Last Update Date     |    01/15/2026
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Provider Practice Location Address
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    Address Line         |    5455 RIVER RUN DR 
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    City                 |    PROVO
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    State                |    UT
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    Zip                  |    84604-7726
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    Country              |    US
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    Telephone            |    801-226-2550
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5455 RIVER RUN DR 
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    City                 |    PROVO
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    State                |    UT
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    Zip                  |    84604-7726
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    HUMAN RESOURCES
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    Name                 |    MR. JARED  DAVIS 
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    Credential           |    
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    Telephone            |    801-226-2550
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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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Taxonomy #2
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    Taxonomy Code        |    323P00000X
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    Taxonomy Name        |    Psychiatric Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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