NPI 1255647640 · live from the CMS NPI Registry
Jenafer Bauerle
Behavior Analyst in Salt Lake City, UT. National Provider Identifier 1255647640, active.
NPI record
| NPI | 1255647640 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 5800 Highland Dr, Salt Lake City, UT 84121 |
| Practice phone | 801-707-2969 |
| Enumerated | August 24, 2010 |
| Last updated | August 24, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.