MEDICARE: MRS. HEATHER L OBARR RBT

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
1	106S00000X	Behavior Technician	RBT-23-281353	UT

General Provider Information

NPI Number	:	1487525077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEATHER L OBARR RBT

Provider Business Mailing Address
First Line	:	2795 E COTTONWOOD PKWY STE 300-1087
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-7032
Country	:	US
Telephone Number	:	801-843-5882
Fax Number	:

Provider Business Practice Location Address
First Line	:	2795 E COTTONWOOD PKWY STE 300-1087
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-7032
Country	:	US
Telephone Number	:	801-843-5882
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	09/16/2025

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