Healthcare Provider Details

I. General information

NPI: 1447743026
Provider Name (Legal Business Name): DEVIN HORAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2018
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 E TABERNACLE ST
ST GEORGE UT
84770-2940
US

IV. Provider business mailing address

838 S 1100 W
AMERICAN FORK UT
84003-4546
US

V. Phone/Fax

Practice location:
  • Phone: 435-767-7929
  • Fax:
Mailing address:
  • Phone: 801-616-7722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-20-41320
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: