Heidi Kiersten Niitsuma, RBT
Behavior Technician in Herriman, UT. Individual provider (NPI-1).
NPI number1730618596
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1730618596
- Entity type
- Individual (NPI-1)
- Name
- Heidi Kiersten Niitsuma
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 175T00000X | Peer Specialist | – | – |
Practice location
13947 S Newburg DrHerriman, UT 84096-6787
Phone 801-506-6695
Mailing address
13947 S Newburg DrHerriman, UT 84096-6787
Phone 801-506-6695
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