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NPI Code Detail

MEDICARE: MELISSA BOSMANN CBT

MEDICARE: MELISSA BOSMANN CBT
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 : 1700479946
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA BOSMANN CBT
Provider Business Mailing Address
First Line : 939 S ASPEN LOOP
Second Line :
City : PROVO
State : UT
Zip : 84606-6451
Country : US
Telephone Number : 425-772-0057
Fax Number :
Provider Business Practice Location Address
First Line : 8031 S 700 E
Second Line :
City : SANDY
State : UT
Zip : 84070-0555
Country : US
Telephone Number : 877-222-4621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2021
Last Update Date : 01/05/2026

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Directions to “ MELISSA BOSMANN CBT” 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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