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NPI Code Detail

MEDICARE: TRINIDY SCOUT BARNARD RBT

MEDICARE: TRINIDY SCOUT BARNARD 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1700690187
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRINIDY SCOUT BARNARD RBT
Provider Business Mailing Address
First Line : 3006 S HIGHLAND DR STE 210
Second Line :
City : MILLCREEK
State : UT
Zip : 84106-6004
Country : US
Telephone Number : 801-647-3920
Fax Number : 801-931-2607
Provider Business Practice Location Address
First Line : 3006 S HIGHLAND DR STE 210
Second Line :
City : MILLCREEK
State : UT
Zip : 84106-6004
Country : US
Telephone Number : 801-647-3920
Fax Number : 801-931-2607
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2025
Last Update Date : 02/05/2025

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Directions to “ TRINIDY SCOUT BARNARD RBT” 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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