Christopher Bluemel

Individual provider Active NPI Behavior Technician · Cottonwood Heights, UT

NPI 1780410944 · NPPES record last updated Sep 12, 2024

Key facts

NPI
1780410944
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2825 E Cottonwood Pkwy Ste 500
Cottonwood Heights, UT 84121-7060
Phone
(801) 653-3111
Fax
(646) 859-4440
NPI assigned
Sep 12, 2024
Sex
Male
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2825 E Cottonwood Pkwy Ste 500
Cottonwood Heights, UT 84121-7060

Mailing address

2825 E Cottonwood Pkwy Ste 500
Cottonwood Heights, UT 84121-7060
Phone (801) 653-3111

Other providers in Cottonwood Heights, UT

All providers in Cottonwood Heights, UT · Behavior Technician in Utah

Sources for this page

Verify at the official NPI Registry.