Gregory Avalos
Individual provider Active NPI Behavior Technician · Cedar City, UT
NPI 1821722463 · NPPES record last updated Jul 11, 2022
Key facts
- NPI
- 1821722463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1870 N Main St Ste 206
Cedar City, UT 84721-7741 - Phone
- (801) 255-5131
- NPI assigned
- Jul 11, 2022
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1870 N Main St Ste 206
Cedar City, UT 84721-7741
Mailing address
6013 S Redwood Rd
Taylorsville, UT 84123-5220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104119619 | Other | UT | BEHAVIOR TECH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@utbs.co |
Other providers in Cedar City, UT
- Brittany Ashdown
- Melony Covington Atwood
- Iosefa Augafa-Robins
- Aurora & Eve LLC
- Trinity Sy Wayman Austin
- Ellie Babbitt
- Jayden C Back
- Shauna Marie Bacon
- Jorge Baez
- Chris Bagby
All providers in Cedar City, 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 Jul 11, 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.