Mary Joann Butcher
Individual provider Active NPI Behavior Technician · Cottonwood Heights, UT
NPI 1376152256 · NPPES record last updated Aug 3, 2020
Key facts
- NPI
- 1376152256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6910 S Highland Dr
Cottonwood Heights, UT 84121-3060 - Phone
- (214) 497-4822
- NPI assigned
- Jul 27, 2020
- 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 | UT | Yes |
Addresses
Primary practice location
6910 S Highland Dr
Cottonwood Heights, UT 84121-3060
Mailing address
1446 E Blue Grass Cir
Cottonwood Heights, UT 84121-2701
Phone (214) 497-4822
Other providers in Cottonwood Heights, UT
- Kallie Nicole Brown
- Bayley Elizabeth Bruner
- Mariah Bullock
- Matalyn M Bunn
- Leesa Jo Burriss
- Malcolm Butler
- Linda Butts
- Deidra Diane Buzzi Bertoldo
- Shawn Neil Bybee
- Ashley Cady
All providers in Cottonwood Heights, UT · Behavior Technician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2020. 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.