Provider Demographics
NPI:1518668979
Name:PRECISION LEARNING & BEHAVIORAL CONSULTING
Entity Type:Organization
Organization Name:PRECISION LEARNING & BEHAVIORAL CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:O'DRISCOLL
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:435-790-4270
Mailing Address - Street 1:HC 67 BOX 31
Mailing Address - Street 2:
Mailing Address - City:TRIDELL
Mailing Address - State:UT
Mailing Address - Zip Code:84076-9703
Mailing Address - Country:US
Mailing Address - Phone:435-219-2811
Mailing Address - Fax:
Practice Address - Street 1:280 W 100 N
Practice Address - Street 2:
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-2042
Practice Address - Country:US
Practice Address - Phone:435-790-4270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty