Bethany Ewell, RBT
Individual provider Active NPI Behavior Technician · Providence, UT
NPI 1992367585 · NPPES record last updated Jul 3, 2019
Key facts
- NPI
- 1992367585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 545 W 465 N Ste 100
Providence, UT 84332-8004 - Phone
- (435) 753-6606
- NPI assigned
- Jul 3, 2019
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
545 W 465 N Ste 100
Providence, UT 84332-8004
Mailing address
1443 W 800 N Ste 103
Orem, UT 84057-2878
Phone (801) 655-4950
Other practice location 1
15142 S Longbranch Dr
Draper, UT 84020-5595
Phone (801) 867-6295
Other providers in Providence, UT
- Nicholas Dushku
- Amanda Dustin
- Spencer Dutson
- Anthony J Dye
- Neil Louis Erickson
- Daniel Griffin Fast
- Amy Fisher
- Laura Burgher Fisher
- Mylee Brooke Fox
- Dallan Curtis Fraughton
All providers in Providence, 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 3, 2019. 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.