Arienn Jean Ackerman

Individual provider Active NPI Behavior Technician · Bountiful, UT

NPI 1043884588 · NPPES record last updated May 19, 2021

Key facts

NPI
1043884588
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2025 Sout 50 West
Bountiful, UT 84010
Phone
(801) 548-3091
NPI assigned
May 19, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Manning Behavior Services, LLC Current
since May 25, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X UT Yes

Addresses

Primary practice location

2025 Sout 50 West
Bountiful, UT 84010

Mailing address

2025 Sout 50 West
Bountiful, UT 84010
Phone (801) 548-3091

Other providers in Bountiful, UT

All providers in Bountiful, UT · Behavior Technician in Utah

Sources for this page

Verify at the official NPI Registry.