IndividualActive
Maryanne Medina
NPI 1417736158 · Behavior Technician · Salt Lake City, UT
Maryanne Medina is a Behavior Technician provider in Salt Lake City, UT (NPI 1417736158).
Provider details
- NPI number
- 1417736158
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-25-406398 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
780 S Guardsman Way
Salt Lake City, UT 84108-1374
Phone: (801) 581-0194
Street-level locationGet directions
Mailing address
3725 W 4100 S Ste 201
West Valley City, UT 84120-5411
Registry dates
- Enumerated
- 2023-09-22
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Frequently asked questions
- What is Maryanne Medina's NPI number?
- Maryanne Medina's National Provider Identifier (NPI) is 1417736158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maryanne Medina's specialty?
- Maryanne Medina is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Maryanne Medina located?
- Maryanne Medina's practice location on file with NPPES is 780 S Guardsman Way, Salt Lake City, UT 84108-1374.
- What is Maryanne Medina's phone number?
- The practice phone number listed in the NPPES registry for Maryanne Medina is (801) 581-0194.
- Is Maryanne Medina's NPI active?
- Yes — Maryanne Medina's NPI (1417736158) is active in the NPPES registry as of the last update on 2025-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.