Joey Kathryn Allan

Individual provider Active NPI Behavior Technician · South Jordan, UT

NPI 1043962731 · NPPES record last updated Jan 24, 2022

Key facts

NPI
1043962731
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5128 W Rambutan Way
South Jordan, UT 84009-1580
Phone
(385) 201-6732
NPI assigned
Jan 24, 2022
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

5128 W Rambutan Way
South Jordan, UT 84009-1580

Mailing address

5128 Rambutan Way
South Jordan, UT 84009

Other providers in South Jordan, UT

All providers in South Jordan, UT · Behavior Technician in Utah

Sources for this page

Verify at the official NPI Registry.