Healthcare Provider Details

I. General information

NPI: 1992645485
Provider Name (Legal Business Name): MIRIAM HOWARD
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 W 450 N
OREM UT
84057-3694
US

IV. Provider business mailing address

933 W 450 N
OREM UT
84057-3694
US

V. Phone/Fax

Practice location:
  • Phone: 801-358-6736
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: