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NPI Code Detail

MEDICARE: HEATHER DILLON M.ED, BCBA, LBA

MEDICARE: HEATHER DILLON M.ED, BCBA, LBA
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
1103K00000XBehavior AnalystUT

General Provider Information

NPI Number : 1427592740
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER DILLON M.ED, BCBA, LBA
Provider Business Mailing Address
First Line : 24 W SERGEANT COURT DR STE 204
Second Line :
City : SARATOGA SPRINGS
State : UT
Zip : 84045-5809
Country : US
Telephone Number : 801-987-6333
Fax Number : 801-341-8724
Provider Business Practice Location Address
First Line : 24 W SERGEANT COURT DR STE 204
Second Line :
City : SARATOGA SPRINGS
State : UT
Zip : 84045-5809
Country : US
Telephone Number : 801-987-6333
Fax Number : 801-341-8724
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2016
Last Update Date : 11/25/2023

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