IndividualActive
Addisyn Leister
NPI 1063104859 · Behavior Technician · West Jordan, UT
Provider details
- NPI number
- 1063104859
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Community Health Worker172V00000X
Other Service Providers
Practice location
1970 W 7800 S
West Jordan, UT 84088-4025
Phone: (801) 268-4887
Approximate (ZIP-level) locationGet directions
Mailing address
1970 W 7800 S
West Jordan, UT 84088-4025
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2023-05-22
- Certified
- 2023-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.