Healthcare Provider Details

I. General information

NPI: 1497131635
Provider Name (Legal Business Name): HEIDI YARDLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2015
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 N 2150 W STE 6
CEDAR CITY UT
84721-4220
US

IV. Provider business mailing address

470 N 2150 W STE 6
CEDAR CITY UT
84721-4220
US

V. Phone/Fax

Practice location:
  • Phone: 435-327-1374
  • Fax:
Mailing address:
  • Phone: 435-327-1374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number108055
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: