IndividualActive
Audrey Hendarto
NPI 1518604248 · Behavior Technician · Slc, UT
Provider details
- NPI number
- 1518604248
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
344 E 100 S Ste 301
Slc, UT 84111-1727
Phone: (801) 428-4257
Approximate (ZIP-level) locationGet directions
Mailing address
344 E 100 S Ste 301
Slc, UT 84111-1727
Registry dates
- Enumerated
- 2022-05-15
- Last updated
- 2022-05-15
- Certified
- 2022-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.