Chandee Cyrena Childress
Behavior Technician in Pleasant Grove, UT. Individual provider (NPI-1).
NPI number1265196166
StatusActive
Last updated in NPPESOct 26, 2021
Details
- NPI
- 1265196166
- Entity type
- Individual (NPI-1)
- Name
- Chandee Cyrena Childress
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2021
- Certification date
- Oct 26, 2021
- Last updated
- Oct 26, 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 |
| 172V00000X | Community Health Worker | – | – |
Practice location
533 W State Rd Ste 103Pleasant Grove, UT 84062-2114
Phone 801-506-6695
Mailing address
533 W State Rd Ste 103Pleasant Grove, UT 84062-2114
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 70 Behavior Technician providers in Pleasant Grove · All 751 providers in Pleasant Grove
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