Autumn Andrus
Individual provider Active NPI Behavior Technician · St George, UT
NPI 1730003864 · NPPES record last updated Aug 10, 2026
Key facts
- NPI
- 1730003864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1067 E Tabernacle St
St George, UT 84770-3163 - Phone
- (801) 255-5131
- NPI assigned
- Aug 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeway Integrated Healthcare Services Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
106S00000X | Yes |
Addresses
Primary practice location
1067 E Tabernacle St
St George, UT 84770-3163
Mailing address
5558 S 1900 W
Taylorsville, UT 84129-9007
Other providers in St George, UT
- Charles P. Andrews
- Elizabeth Andrews
- Andrus Prosthodontics LC
- Andrus Vision Center PC
- Ariel Andrus
- Brandon Shane Andrus
- Dwight Eugene Andrus
- Ian Andrus
- Rodney L Andrus
- Coleen Marie Andruss
All providers in St George, 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 10, 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.