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Andrew Watt

Behavior Technician in Taylorsville, UT. Individual provider (NPI-1).

NPI number1962025510
StatusActive
Last updated in NPPESMay 18, 2020

Details

NPI
1962025510
Entity type
Individual (NPI-1)
Name
Andrew Watt
Sex
Male
Sole proprietor
Yes
Enumeration date
May 18, 2020
Certification date
May 18, 2020
Last updated
May 18, 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 codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

6013 S Redwood Rd
Taylorsville, UT 84123-5220

Phone 801-255-5131

Mailing address

6013 S Redwood Rd
Taylorsville, UT 84123-5220

Phone 801-255-5131

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 Taylorsville, UT

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