Provider Demographics
NPI:1740150051
Name:REACH HIGHER ABA UTAH, LLC
Entity type:Organization
Organization Name:REACH HIGHER ABA UTAH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YOSEF
Authorized Official - Middle Name:
Authorized Official - Last Name:GALEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-423-6997
Mailing Address - Street 1:700 ROCKAWAY TPKE STE 202
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1014
Mailing Address - Country:US
Mailing Address - Phone:917-423-6997
Mailing Address - Fax:917-423-6997
Practice Address - Street 1:2150 S 1300 E STE 520-07
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106-4333
Practice Address - Country:US
Practice Address - Phone:917-423-6997
Practice Address - Fax:917-423-6997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty