Tanesha Johns
Individual provider Active NPI Behavior Technician · Magna, UT
NPI 1043856735 · NPPES record last updated May 28, 2024
Key facts
- NPI
- 1043856735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 8265 W 2700 S
Magna, UT 84044-1323 - Phone
- (801) 251-1161
- NPI assigned
- Nov 18, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
8265 W 2700 S
Magna, UT 84044-1323
Mailing address
8265 W 2700 S
Magna, UT 84044-1323
Phone (801) 251-1161
Other providers in Magna, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.