Riley L Andrus

Individual provider Active NPI Behavior Technician · Cottonwood Heights, UT

NPI 1881295103 · NPPES record last updated Nov 3, 2020

Key facts

NPI
1881295103
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6190 S. Highland Drive
Cottonwood Heights, UT 84121-8412
Phone
(801) 783-9227
NPI assigned
Nov 3, 2020
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

6190 S. Highland Drive
Cottonwood Heights, UT 84121-8412

Mailing address

6190 S Higland Drive
Cottonwood Heights, UT 84121
Phone (801) 935-4171

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.