Raeann Chavez
Individual provider Active NPI Behavior Technician · Taylorsville, UT
NPI 1720720972 · NPPES record last updated Apr 8, 2022
Key facts
- NPI
- 1720720972
- 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
- Apr 8, 2022
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
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
- Kyleigh Chatterton
- Jenalee Shawna Chatwin
- Carmina Chavez
- Dustin Chavez
- Leonard Chavez
- Joseph M Checchio
- Jaycee Checketts
- Cherish Your Smile PLLC
- Brian Cherry
- Binja Chikobe
All providers in Taylorsville, 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 Apr 8, 2022. 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.