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NPI Code Detail

MEDICARE: ERIC SPRAGUE

MEDICARE: ERIC SPRAGUE
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 : 1699627117
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC SPRAGUE
Provider Business Mailing Address
First Line : 6013 S REDWOOD RD
Second Line :
City : TAYLORSVILLE
State : UT
Zip : 84123-5220
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5558 S 1900 W
Second Line :
City : TAYLORSVILLE
State : UT
Zip : 84129-9007
Country : US
Telephone Number : 801-255-5131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ ERIC SPRAGUE ” 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.

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