Shaylee Patricia Moran
Individual provider Active NPI Behavior Technician · Farr West, UT
NPI 1104424993 · NPPES record last updated Oct 13, 2020
Key facts
- NPI
- 1104424993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2811 N 2350 W
Farr West, UT 84404-5177 - Phone
- (801) 452-1940
- Fax
- (801) 872-8757
- NPI assigned
- Oct 13, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aim-Autism in Motion, Corp | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2811 N 2350 W
Farr West, UT 84404-5177
Mailing address
2811 N 2350 W
Farr West, UT 84404-5177
Phone (801) 452-1940
Other providers in Farr West, UT
- Ryan Maxfield
- Baylee Skye McInelly
- Tyler Jordan McKinnon
- Mikardi LLC
- Karissa Myla Moore
- Brandy D Mouritsen
- Todd W Mumford
- Marques Skot Neilson
- Samantha Reese Nelson
- North Ogden Surgery Center LLC
All providers in Farr West, 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 Oct 13, 2020. 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.