Provider First Line Business Practice Location Address:
LITTLE CHAMPS ABA - 6312 S FIDDLERS GREEN CIR, SUITE 3
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALT LAKE CITY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
385-494-3500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/09/2026