| Utah Behavior Services, Inc. | |
|
6013 S Redwood Rd Taylorsville UT 84123 | |
| (801) 255-5131 | |
| (801) 658-0604 |
| Full Name | Utah Behavior Services, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6013 S Redwood Rd, Taylorsville, Utah |
| Authorized Official Name and Position | Natalie Whatcott (CO-FOUNDER, PRESIDENT) |
| Authorized Official Contact | 8012555131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Behavior Services, Inc. 6013 S Redwood Rd Taylorsville UT 84123-5220 Ph: (801) 255-5131 | Utah Behavior Services, Inc. 6013 S Redwood Rd Taylorsville UT 84123 Ph: (801) 255-5131 |
| NPI Number | 1104119619 |
|---|---|
| Provider Enumeration Date | 05/17/2011 |
| Last Update Date | 12/10/2019 |
| Certification Date | 12/10/2019 |
| Medicare PECOS PAC ID | 4789073040 |
|---|---|
| Medicare Enrollment ID | O20211109000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104119619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 5896085-6004 (Utah) | Secondary |
| 103K00000X | Behavior Analyst | 1-08-4502 (Utah) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Mahealani Serra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245629229 PECOS PAC ID: 4082902515 Enrollment ID: I20161014001936 |
| Provider Name | Tamara Lynn Broadhead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124548789 PECOS PAC ID: 4183981665 Enrollment ID: I20171208002076 |
| Provider Name | Stefanie K Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225523673 PECOS PAC ID: 4082003116 Enrollment ID: I20211111001384 |
| Provider Name | Cija Hauver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891387163 PECOS PAC ID: 4284049495 Enrollment ID: I20240515000839 |
Janet E. Hooper, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5689 S Redwood Rd, #28-2, Taylorsville, UT 84123 Phone: 801-266-4643 Fax: 801-266-4775 | |
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