Provider Demographics
NPI:1073134474
Name:ACHIEVING ABILITIES
Entity Type:Organization
Organization Name:ACHIEVING ABILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CACERES-LOVELESS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:801-935-5796
Mailing Address - Street 1:1392 TURF FARM WAY STE 1-153
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:UT
Mailing Address - Zip Code:84651-5587
Mailing Address - Country:US
Mailing Address - Phone:801-935-5796
Mailing Address - Fax:
Practice Address - Street 1:1392 TURF FARM WAY STE 1-153
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-5587
Practice Address - Country:US
Practice Address - Phone:801-935-5796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health