Healthcare Provider Details

I. General information

NPI: 1861334286
Provider Name (Legal Business Name): ASHLEY TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7370 S 2625 W
WEST JORDAN UT
84084-3149
US

IV. Provider business mailing address

7370 S 2625 W
WEST JORDAN UT
84084-3149
US

V. Phone/Fax

Practice location:
  • Phone: 385-210-5783
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-8505-1174472
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: