Provider Demographics
NPI:1316304132
Name:FOROUGHI, CASI (RBT)
Entity type:Individual
Prefix:MRS
First Name:CASI
Middle Name:
Last Name:FOROUGHI
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 E. 400 S. #300
Mailing Address - Street 2:APEX BEHAVIOR CONSULTING
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84111
Mailing Address - Country:US
Mailing Address - Phone:801-897-7905
Mailing Address - Fax:
Practice Address - Street 1:243 E 400 S
Practice Address - Street 2:#300
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84111-2838
Practice Address - Country:US
Practice Address - Phone:801-897-7905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst