DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SIERRA GREENE RBT

MEDICARE: SIERRA GREENE 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
2106S00000XBehavior TechnicianRBT-25-409150UT

General Provider Information

NPI Number : 1780317214
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIERRA GREENE RBT
Provider Business Mailing Address
First Line : 1105 W RUSSELL ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-1322
Country : US
Telephone Number : 605-271-2690
Fax Number :
Provider Business Practice Location Address
First Line : 6033 FASHION POINT DR STE 100
Second Line :
City : SOUTH OGDEN
State : UT
Zip : 84403-4848
Country : US
Telephone Number : 605-271-2690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2022
Last Update Date : 02/20/2025

Similar Medicare Providers

1265153159 — SHERI WYATT
Practice Location Address:
6033 FASHION POINT DR STE 100
SOUTH OGDEN, UT
84403-4848
Practice Phone: 605-271-2690
Practice Fax:
1649778481 — VIOLET CLARA MERTEN
Practice Location Address:
6033 FASHION POINT DR STE 100
SOUTH OGDEN, UT
84403-4848
Practice Phone: 605-271-2690
Practice Fax:
1932766615 — MCKENNA MARIE STEPHENS
Practice Location Address:
6033 FASHION POINT DR STE 100
SOUTH OGDEN, UT
84403-4848
Practice Phone: 605-271-2690
Practice Fax:
1619646049 — RIAH MAE BROWN RBT
Practice Location Address:
6033 FASHION POINT DR STE 100
SOUTH OGDEN, UT
84403-4848
Practice Phone: 605-271-2690
Practice Fax:
1508515958 — MARLENE LADONNA LAMBSON
Practice Location Address:
6033 FASHION POINT DR STE 100
SOUTH OGDEN, UT
84403-4848
Practice Phone: 605-271-2690
Practice Fax:
1316684426 — STACI SHOELL
Practice Location Address:
6033 FASHION POINT DR STE 100
SOUTH OGDEN, UT
84403-4848
Practice Phone: 605-271-2690
Practice Fax:

Directions to “ SIERRA GREENE 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.