Patrick Allred
Individual provider Active NPI Behavior Technician · Orem, UT
NPI 1740732940 · NPPES record last updated Nov 4, 2016
Key facts
- NPI
- 1740732940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 170810670 (UT)
- Practice address
- 1875 S Geneva Rd
Orem, UT 84058-2217 - Phone
- (801) 437-0490
- NPI assigned
- Nov 4, 2016
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170810670 | UT | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 170810670 | UT | Yes |
Addresses
Primary practice location
1875 S Geneva Rd
Orem, UT 84058-2217
Mailing address
1875 S Geneva Rd
Orem, UT 84058-2217
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2016. 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.