Healthcare Provider Details

I. General information

NPI: 1396658571
Provider Name (Legal Business Name): SAMANTHA LORA BARNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 W GORDON AVE STE 1
LAYTON UT
84041-2381
US

IV. Provider business mailing address

2811 N 2350 W
FARR WEST UT
84404-5177
US

V. Phone/Fax

Practice location:
  • Phone: 801-425-1940
  • Fax: 801-872-8757
Mailing address:
  • Phone: 801-452-1940
  • Fax: 801-872-8757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: