Kimra Bagley
Individual provider Active NPI Behavior Technician · Salt Lake City, UT
NPI 1124868757 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1124868757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 515 S 700 E Ste 2a
Salt Lake City, UT 84102-2855 - Phone
- (801) 935-4171
- NPI assigned
- May 30, 2024
- 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
515 S 700 E Ste 2a
Salt Lake City, UT 84102-2855
Mailing address
16255 Ventura Blvd Ste 830
Encino, CA 91436-2317
Other providers in Salt Lake City, UT
- Cherish Maris Baga-an
- Susan Kay Baggaley
- Yasaman Naemi Baghshomali
- Ana Bagley
- Joel Kevin Bagley II
- Lisa Dunn Bagley
- Robert Bagley
- Sandra W Bagley
- Tricia Bagley
- Jordan Lee Bagnall
All providers in Salt Lake City, 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 May 30, 2024. 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.