Reggie Eli Hinck
Individual provider Active NPI Behavior Technician · Pleasant Grove, UT
NPI 1104411396 · NPPES record last updated Mar 9, 2021
Key facts
- NPI
- 1104411396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 533 W State Rd Ste 103
Pleasant Grove, UT 84062-2114 - Phone
- (435) 979-2433
- NPI assigned
- Mar 9, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
533 W State Rd Ste 103
Pleasant Grove, UT 84062-2114
Mailing address
533 W State Rd Ste 103
Pleasant Grove, UT 84062-2114
Other providers in Pleasant Grove, UT
- Bryan Herron
- James Hewett
- Colette Hickman-Evans
- Alicia Anderson Hill
- Daniel James Hilton
- Madison Jo Hirschi
- Rachael Leigh Hobbs
- Teigan Hoffman
- Rachel Maria Hogan
- Haddie R Holt
All providers in Pleasant Grove, 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 Mar 9, 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.