Provider Demographics
NPI:1184019457
Name:APPLIED BEHAVIOR CONNECTIONS LLC
Entity Type:Organization
Organization Name:APPLIED BEHAVIOR CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER/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:MA BCBA
Authorized Official - Phone:801-935-5796
Mailing Address - Street 1:5160 SUNSET LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-4230
Mailing Address - Country:US
Mailing Address - Phone:801-935-5796
Mailing Address - Fax:801-396-2828
Practice Address - Street 1:5160 SUNSET LN
Practice Address - Street 2:
Practice Address - City:SOUTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-4230
Practice Address - Country:US
Practice Address - Phone:801-935-5796
Practice Address - Fax:801-396-2828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-02
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1022390251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health