Madison Marie Lethbridge
Behavior Technician in Orem, UT. Individual provider (NPI-1).
NPI number1194477091
StatusActive
Last updated in NPPESJan 21, 2022
Details
- NPI
- 1194477091
- Entity type
- Individual (NPI-1)
- Name
- Madison Marie Lethbridge
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2022
- Certification date
- Jan 21, 2022
- Last updated
- Jan 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1875 S Geneva RdOrem, UT 84058-2217
Phone 801-437-0490
Mailing address
1875 S Geneva RdOrem, UT 84058-2217
Phone 801-437-0490
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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 1,302 Behavior Technician providers in Orem · All 3,749 providers in Orem
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