Healthcare Provider Details

I. General information

NPI: 1477048924
Provider Name (Legal Business Name): SAMANTHA HARKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2018
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2985 N 935 E STE 7
LAYTON UT
84040-7318
US

IV. Provider business mailing address

7226 S 1540 E
SALT LAKE CITY UT
84121-4714
US

V. Phone/Fax

Practice location:
  • Phone: 801-564-1748
  • Fax:
Mailing address:
  • Phone: 801-403-3499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-86802
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: