Molly Blackham
Individual provider Active NPI Behavior Technician · Payson, UT
NPI 1306770565 · NPPES record last updated Jun 11, 2026
Key facts
- NPI
- 1306770565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 791 E 100 S
Payson, UT 84651-2305 - Phone
- (801) 935-5796
- NPI assigned
- Jun 11, 2026
- 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
791 E 100 S
Payson, UT 84651-2305
Mailing address
791 E 100 S
Payson, UT 84651-2305
Other names
- Molly Rogers
Other providers in Payson, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2026. 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.