Samantha Keeley Anderson
Individual provider Active NPI Behavior Technician · Cottonwood Heights, UT
NPI 1053905877 · NPPES record last updated Feb 23, 2021
Key facts
- NPI
- 1053905877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6910 S Highland Dr
Cottonwood Heights, UT 84121-3060 - Phone
- (801) 935-4171
- Fax
- (801) 935-4946
- NPI assigned
- Feb 23, 2021
- 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
6910 S Highland Dr
Cottonwood Heights, UT 84121-3060
Mailing address
1121 W 4300 S
Riverdale, UT 84405-3324
Phone (801) 645-8119
Other providers in Cottonwood Heights, UT
- Erica Patricia Anderson
- Icelle Marie Anderson
- Jessica Anderson
- Noah Anderson
- River Anderson
- Sophia Anderson
- Riley L Andrus
- Lauren Erica Anglesey
- Brooklyn Marie Armstrong
- Sofia Ascencio-Montaner
All providers in Cottonwood Heights, UT · Behavior Technician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2021. 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.