Jenikka Brady
Behavior Technician in Midvale, UT. Individual provider (NPI-1).
NPI number1962024372
StatusActive
Last updated in NPPESMay 8, 2020
Details
- NPI
- 1962024372
- Entity type
- Individual (NPI-1)
- Name
- Jenikka Brady
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2020
- Certification date
- May 8, 2020
- Last updated
- May 8, 2020
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
7434 S State StMidvale, UT 84047-2014
Phone 801-456-9955
Mailing address
7434 S State StMidvale, UT 84047-2014
Phone 801-456-9955
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.
Other Behavior Technician providers in Midvale, UT
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All 72 Behavior Technician providers in Midvale · All 896 providers in Midvale
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