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NPI Code Detail

MEDICARE: MISS CHRISTINA RENEE VINZANT

MEDICARE:  MISS CHRISTINA RENEE VINZANT
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 : 1912836651
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CHRISTINA RENEE VINZANT
Provider Business Mailing Address
First Line : 5216 W 3500 S
Second Line :
City : WEST VALLEY CITY
State : UT
Zip : 84120-2702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5216 W 3500 S
Second Line :
City : WEST VALLEY CITY
State : UT
Zip : 84120-2702
Country : US
Telephone Number : 435-263-6697
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ MISS CHRISTINA RENEE VINZANT ” Practice Location

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