Provider Demographics
NPI:1740099720
Name:PLAYABILITY BEHAVIOR & LEARNING
Entity type:Organization
Organization Name:PLAYABILITY BEHAVIOR & LEARNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUISA
Authorized Official - Middle Name:MERCEDES
Authorized Official - Last Name:SHUMWAY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:801-548-3357
Mailing Address - Street 1:1985 W MARBLE FOX CIR
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-6454
Mailing Address - Country:US
Mailing Address - Phone:801-548-3357
Mailing Address - Fax:
Practice Address - Street 1:1985 W MARBLE FOX CIR
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-6454
Practice Address - Country:US
Practice Address - Phone:801-548-3357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty