MEDICARE: AUTISM CENTERS OF UTAH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1326994526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUTISM CENTERS OF UTAH, LLC

Provider Business Mailing Address
First Line	:	8851 S SANDY PKWY STE 100
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-6465
Country	:	US
Telephone Number	:	385-417-3869
Fax Number	:	385-213-0702

Provider Business Practice Location Address
First Line	:	8851 S SANDY PKWY STE 100
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-6465
Country	:	US
Telephone Number	:	385-417-3869
Fax Number	:	385-213-0702

Authorized Official
Title or Position	:	CEO
Name	:	CODY KATARI
Credential	:
Telephone Number	:	561-926-2383

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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