DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DALTON PACKER

MEDICARE: DALTON PACKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1306778741
Entity Type Code : Individual
Provider Name (Legal Business Name) : DALTON PACKER
Provider Business Mailing Address
First Line : 1970 W 7800 S
Second Line :
City : WEST JORDAN
State : UT
Zip : 84088-4025
Country : US
Telephone Number : 801-506-6695
Fax Number :
Provider Business Practice Location Address
First Line : 1970 W 7800 S
Second Line :
City : WEST JORDAN
State : UT
Zip : 84088-4025
Country : US
Telephone Number : 801-506-6695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:
2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908
Practice Phone: 301-816-6660
Practice Fax: 301-816-6308
1801484167 — EMMA NELSON BCBA, LBA
Practice Location Address:
1970 W 7800 S
WEST JORDAN, UT
84088-4025
Practice Phone: 801-506-6695
Practice Fax:
1912242918 — AFFINITY BEHAVIOR AND MENTAL HEALTH SERVICES, LLC
Practice Location Address:
1970 W 7800 S
WEST JORDAN, UT
84088-4025
Practice Phone: 801-506-6695
Practice Fax:
1083546410 — ALEXIS PRICE
Practice Location Address:
1970 W 7800 S
WEST JORDAN, UT
84088-4025
Practice Phone: 801-506-6695
Practice Fax:
1295667004 — BROOKLYN MOOS
Practice Location Address:
1970 W 7800 S
WEST JORDAN, UT
84088-4025
Practice Phone: 801-506-6695
Practice Fax:
1912839739 — TREVOR MAUSS
Practice Location Address:
1970 W 7800 S
WEST JORDAN, UT
84088-4025
Practice Phone: 801-506-6695
Practice Fax:

Directions to “ DALTON PACKER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.