Jillian Bunderson

Individual provider Active NPI Behavior Technician · Spanish Fork, UT

NPI 1841153665 · NPPES record last updated Dec 8, 2025

Key facts

NPI
1841153665
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1570 N Main St
Spanish Fork, UT 84660-1006
Phone
(801) 210-9319
NPI assigned
Dec 8, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Re Therapy Services Past
since Dec 14, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1570 N Main St
Spanish Fork, UT 84660-1006

Mailing address

1570 N Main St
Spanish Fork, UT 84660-1006

Other providers in Spanish Fork, UT

All providers in Spanish Fork, UT · Behavior Technician in Utah

Sources for this page

Verify at the official NPI Registry.