Healthcare Provider Details

I. General information

NPI: 1851242200
Provider Name (Legal Business Name): LAINEE KARIMI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAINEE SMITH

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 S WATER COURSE DR
WASHINGTON UT
84780-3625
US

IV. Provider business mailing address

353 S WATER COURSE DR
WASHINGTON UT
84780-3625
US

V. Phone/Fax

Practice location:
  • Phone: 916-521-2428
  • Fax:
Mailing address:
  • Phone: 916-521-2428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number14269485-2506
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: