NPI 1497033880 · live from the CMS NPI Registry
Mallory Rose Boegler
Behavior Analyst in Salt Lake City, UT. National Provider Identifier 1497033880, active.
NPI record
| NPI | 1497033880 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 | 435-830-6730 |
| Enumerated | August 2, 2011 |
| Last updated | June 20, 2022 |
| 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.