Provider Demographics
NPI:1851583710
Name:ALLIANCE BEHAVIORAL PSYCHOLOGY, LLC
Entity Type:Organization
Organization Name:ALLIANCE BEHAVIORAL PSYCHOLOGY, LLC
Other - Org Name:ALLIANCE PSYCHOLOGY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BALAGNA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:801-224-2313
Mailing Address - Street 1:363 E 1200 S
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-6904
Mailing Address - Country:US
Mailing Address - Phone:801-224-2313
Mailing Address - Fax:801-224-4475
Practice Address - Street 1:363 E 1200 S
Practice Address - Street 2:SUITE 201
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-6904
Practice Address - Country:US
Practice Address - Phone:801-224-2313
Practice Address - Fax:801-224-4475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty