Hailie Allen
Individual provider Active NPI Behavior Technician · Grantsville, UT
NPI 1992543003 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1992543003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 512 S Sheep LN
Grantsville, UT 84074-8270 - Phone
- (801) 935-4171
- NPI assigned
- Jul 15, 2024
- 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
512 S Sheep LN
Grantsville, UT 84074-8270
Mailing address
16255 Ventura Blvd Ste 830
Encino, CA 91436-2317
Other providers in Grantsville, UT
- Rebekah Ruth Aldridge
- Rachel Alldredge
- Aaric John Allred
- Alyssa Allred
- Ashlyn Andersen
- Kimberly Anderson
- Paula Deans Anderson
All providers in Grantsville, 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 15, 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.