Naomi Genevie Brunelle, B.S.
Behavior Technician in West Jordan, UT. Individual provider (NPI-1).
NPI number1609762020
StatusActive
Last updated in NPPESJun 13, 2025
Details
- NPI
- 1609762020
- Entity type
- Individual (NPI-1)
- Name
- Naomi Genevie Brunelle
- Credential
- B.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 13, 2025
- Certification date
- Jun 13, 2025
- Last updated
- Jun 13, 2025
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 | – | UT | Yes |
Practice location
986 W 9000 SWest Jordan, UT 84088-5729
Phone 949-510-0257
Mailing address
986 W 9000 SWest Jordan, UT 84088-5729
Phone 949-510-0257
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 577 Behavior Technician providers in West Jordan · All 2,143 providers in West Jordan
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