Katelyn Elizabeth Cimmino
Individual provider Active NPI Behavior Technician · Riverdale, UT
NPI 1831640762 · NPPES record last updated Dec 2, 2016
Key facts
- NPI
- 1831640762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-16-24826 (UT)
- Practice address
- 4933 S 1500 W
Suite 110
Riverdale, UT 84405-7175 - Phone
- (801) 820-6420
- NPI assigned
- Oct 14, 2016
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-16-24826 | UT | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-16-24826 | UT | Yes |
Addresses
Primary practice location
4933 S 1500 W
Suite 110
Riverdale, UT 84405-7175
Mailing address
1443 W 800 N
#103
Orem, UT 84057-2875
Phone (801) 655-4950
Other names
- Katelyn Elizabeth Rader
Other providers in Riverdale, UT
- Hannah Nihole Catto
- Melissa Celauro
- Josie Chambers
- Cheryl Kelstrom-Smith LCSW, LLC
- Minroy Jesse Choi
- Caleb Clark
- Marissa Breann Clark
- Calley Clementine
- Jace Colby
- Connect2Kids
All providers in Riverdale, 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 Dec 2, 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.