Sierra Achtzenn

Individual provider Active NPI Behavior Technician · Taylorsville, UT

NPI 1508499682 · NPPES record last updated Feb 18, 2020

Key facts

NPI
1508499682
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6013 S Redwood Rd
Taylorsville, UT 84123-5220
Phone
(801) 255-5131
NPI assigned
Feb 18, 2020
Sex
Female
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

6013 S Redwood Rd
Taylorsville, UT 84123-5220

Mailing address

6013 S Redwood Rd
Taylorsville, UT 84123-5220
Phone (801) 255-5131

Other providers in Taylorsville, UT

All providers in Taylorsville, UT · Behavior Technician in Utah

Sources for this page

Verify at the official NPI Registry.