Lauri Baird

Individual provider Active NPI Behavior Technician · Brigham City, UT

NPI 1083311096 · NPPES record last updated Feb 9, 2023

Key facts

NPI
1083311096
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
35 Skyline Dr
Brigham City, UT 84302-6772
Phone
(801) 255-5131
NPI assigned
Feb 9, 2023
Sex
Female
Sole proprietor
Yes

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
Group: 193200000X MULTI-SPECIALTY GROUP
106S00000X Yes

Addresses

Primary practice location

35 Skyline Dr
Brigham City, UT 84302-6772

Mailing address

6013 S Redwood Rd
Taylorsville, UT 84123-5220

Other identifiers

IdentifierTypeStateIssuer
1104119619OtherBEHAVIOR TECH

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@utbs.co

Other providers in Brigham City, UT

All providers in Brigham City, UT · Behavior Technician in Utah

Sources for this page

Verify at the official NPI Registry.