Contact Us

Behavioral Health Center For Children With Autism

test

Information Form

Do you have questions for us? Would you like more information about PBJ & Friends? We’d love to hear from you! Please don’t hesitate to contact us by filling out this form.

Guardian's Name(Required)

Your Child's Name

Child's Birthday

Phone(Required)

Address

Primary Insurance(Required)

Secondary Insurance(Required)

How did you hear about PBJ & Friends?(Required)

Message

Best Time To Reach You?

Morning

Afternoon

Evening

Does your child have an autism diagnosis? *

Yes

Social

Call Us Now
(801) 997-6839

Address
1305 Commerce Dr.
Suite 120
Saratoga Springs, UT 84045

Email Us
[email protected]