Tara June Pahoulis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

515 S 700 E Ste 2a
Salt Lake City, UT 84102-2855

Phone

(800) 434-8923

NPI assigned

Dec 31, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1306433727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 E WAYFIELD DR",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207972",
            "telephone_number": "775-219-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S 700 E STE 2A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022855",
            "telephone_number": "800-434-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHOULIS",
        "first_name": "TARA",
        "middle_name": "JUNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Page
• Kristen Leigh Pagel, M.D.
• David Pagels, CSW
• Brandilynn Pahl
• Michelle Theresa Pahl, M.D.
• Mayank Pahuja, M.D.
• Paige Smathers Nutrition, LLC
• Hannah Paik
• Theodore S Paisley, MD
• Christopher Sosaia Lisiate Pakalani

• Behavior Technician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Behavior Technician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.