Simon Barlow

Individual provider Active NPI Behavior Technician · Lehi, UT

NPI 1194591305 · NPPES record last updated Nov 29, 2023

Key facts

NPI
1194591305
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
525 S 850 E
Lehi, UT 84043-3990
Phone
(801) 255-5131
NPI assigned
Nov 29, 2023
Sex
Male
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

525 S 850 E
Lehi, UT 84043-3990

Mailing address

6013 S Redwood Rd
Taylorsville, UT 84123-5220

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@utbs.co

Other providers in Lehi, UT

All providers in Lehi, UT · Behavior Technician in Utah

Sources for this page

Verify at the official NPI Registry.