Healthcare Provider Details

I. General information

NPI: 1578407573
Provider Name (Legal Business Name): TONI KAY LAMB RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2026
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 W 380 N
MONROE UT
84754-4120
US

IV. Provider business mailing address

PO BOX 30
LOA UT
84747-0030
US

V. Phone/Fax

Practice location:
  • Phone: 801-349-0616
  • Fax:
Mailing address:
  • Phone: 801-349-0616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-477210
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: