Dajaria Conway
Individual provider Active NPI Behavior Technician · South Salt Lake, UT
NPI 1962261867 · NPPES record last updated Mar 14, 2024
Key facts
- NPI
- 1962261867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2480 S Main St # 206
South Salt Lake, UT 84115-3058 - Phone
- (801) 644-8544
- NPI assigned
- Mar 14, 2024
- Sex
- Female
- 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
2480 S Main St # 206
South Salt Lake, UT 84115-3058
Mailing address
2480 S Main St # 206
South Salt Lake, UT 84115-3058
Phone (801) 644-8544
Other providers in South Salt Lake, UT
- Clear Bearing PLLC
- Anne Marie Cluff
- Alan Barrett Cochrane
- Michael Colen
- Peter Bryan Conder
- Annie Cook
- Natalya Coombs
- Alicia Corado
- Eustolia Cordova
- Kelsey Marie Corr
All providers in South Salt Lake, 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 Mar 14, 2024. 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.