Hayleigh Madison Bagnoud

Individual provider Active NPI Behavior Technician · Bountiful, UT

NPI 1134855893 · NPPES record last updated Jul 26, 2022

Key facts

NPI
1134855893
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2025 S 50 W
Bountiful, UT 84010-5559
Phone
(801) 548-3091
Fax
(801) 992-7150
NPI assigned
Jul 26, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Manning Behavior Services, LLC Current
since Jul 31, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X UT Yes

Addresses

Primary practice location

2025 S 50 W
Bountiful, UT 84010-5559

Mailing address

2025 S 50 W
Bountiful, UT 84010-5559
Phone (801) 548-3091

Other providers in Bountiful, UT

All providers in Bountiful, UT · Behavior Technician in Utah

Sources for this page

Verify at the official NPI Registry.