MEDICARE: CHANCE DOAN I

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		UT

General Provider Information

NPI Number	:	1386503001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANCE DOAN I

Provider Business Mailing Address
First Line	:	10668 S MONICA RIDGE WAY APT S4
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-8919
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10668 S MONICA RIDGE WAY APT S4
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-8919
Country	:	US
Telephone Number	:	801-234-9946
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

Similar Medicare Providers

1306555966 — DONNIS STINSON
Practice Location Address:

8919 JORDAN RD
LEWISBURG, OH
45338-8795

Practice Phone: 937-672-0504
Practice Fax:

1083752125 — MS. CHANTELL CUARON
Practice Location Address:

8919 CALIFORNIA AVE
SOUTH GATE, CA
90280-3013

Practice Phone: 323-487-5126
Practice Fax:

1801036025 — HOSPICE OF HUNTINGTON, INC.
Practice Location Address:

48 PRIVATE DRIVE 339
SOUTH POINT, OH
45680-8919

Practice Phone: 304-529-4217
Practice Fax:

1902317522 — JAMES FLEMING
Practice Location Address:

48 PRIVATE DRIVE 339
SOUTH POINT, OH
45680-8919

Practice Phone: 740-451-1455
Practice Fax:

1023529625 — ZACHARY WORKMAN
Practice Location Address:

48 PRIVATE DRIVE 339
SOUTH POINT, OH
45680-8919

Practice Phone: 740-451-1455
Practice Fax:

1598276107 — AARON BROUGHTON
Practice Location Address:

48 PRIVATE DRIVE 339
SOUTH POINT, OH
45680-8919

Practice Phone: 740-451-1455
Practice Fax:

Directions to “ CHANCE DOAN I ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.