Healthcare Provider Details

I. General information

NPI: 1295658078
Provider Name (Legal Business Name): TAUREE HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 S 50 W
BOUNTIFUL UT
84010-5559
US

IV. Provider business mailing address

2025 S 50 W
BOUNTIFUL UT
84010-5559
US

V. Phone/Fax

Practice location:
  • Phone: 801-548-3091
  • Fax: 801-992-7150
Mailing address:
  • Phone: 801-548-3091
  • Fax: 801-992-7150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: