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NPI Code Detail

MEDICARE: KAITLYN MINER RBT

MEDICARE: KAITLYN MINER RBT
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1659226678
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN MINER RBT
Provider Business Mailing Address
First Line : 3006 S HIGHLAND DR STE 210
Second Line :
City : MILLCREEK
State : UT
Zip : 84106-6004
Country : US
Telephone Number : 801-835-8040
Fax Number : 801-931-2607
Provider Business Practice Location Address
First Line : 3006 S HIGHLAND DR STE 210
Second Line :
City : MILLCREEK
State : UT
Zip : 84106-6004
Country : US
Telephone Number : 801-835-8040
Fax Number : 801-931-2607
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ KAITLYN MINER RBT” Practice Location

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