Healthcare Provider Details

I. General information

NPI: 1497576961
Provider Name (Legal Business Name): SARAH JANE CHRISTENSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH MCMONIGLE

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3773 W 12600 S
RIVERTON UT
84065-5577
US

IV. Provider business mailing address

3773 W 12600 S
RIVERTON UT
84065-5577
US

V. Phone/Fax

Practice location:
  • Phone: 180-128-5130
  • Fax:
Mailing address:
  • Phone: 801-285-1300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-359866
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: