NPI 1396309779 · live from the CMS NPI Registry
Lauren Bobo
Behavior Analyst in Salt Lake City, UT. National Provider Identifier 1396309779, active.
NPI record
| NPI | 1396309779 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 515 S 700 E Ste 2a, Salt Lake City, UT 84102 |
| Practice phone | 801-243-6199 |
| Mailing address | 4056 S Boothill Dr, West Valley City, UT 84120 |
| Enumerated | May 1, 2019 |
| Last updated | April 21, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.