Madison Dehart
Behavior Technician in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1093473597
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1093473597
- Entity type
- Individual (NPI-1)
- Name
- Madison Dehart
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2021
- Certification date
- Dec 1, 2021
- Last updated
- Dec 1, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
515 S 700 E Ste 2aSalt Lake City, UT 84102-2855
Phone 801-935-4171
Mailing address
515 S 700 E Ste 2aSalt Lake City, UT 84102-2855
Phone 801-935-4171
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 1,258 Behavior Technician providers in Salt Lake City · All 24,510 providers in Salt Lake City
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