Kodi Ash
Individual provider Active NPI Behavior Technician · Orem, UT
NPI 1265092001 · NPPES record last updated Jun 14, 2019
Key facts
- NPI
- 1265092001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1875 S Geneva Rd
Orem, UT 84058-2217 - Phone
- (801) 437-0490
- NPI assigned
- Jun 14, 2019
- 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 |
|---|---|---|---|
| Utah Autism Academy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1875 S Geneva Rd
Orem, UT 84058-2217
Mailing address
1875 S Geneva Rd
Orem, UT 84058-2217
Phone (801) 437-0490
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2019. 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.