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NPI Code Detail

MEDICARE: KRISTA CANOVA

MEDICARE: KRISTA CANOVA
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1417890435
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA CANOVA
Provider Business Mailing Address
First Line : 12222 S 1000 E STE 3
Second Line :
City : DRAPER
State : UT
Zip : 84020-3203
Country : US
Telephone Number : 801-987-3592
Fax Number :
Provider Business Practice Location Address
First Line : 12222 S 1000 E STE 3
Second Line :
City : DRAPER
State : UT
Zip : 84020-3203
Country : US
Telephone Number : 801-987-3592
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ KRISTA CANOVA ” Practice Location

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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.

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