IndividualActive
Braden Favero
NPI 1649706698 · Behavior Technician · Roy, UT
Provider details
- NPI number
- 1649706698
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- BACB346416 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2563 W 5800 S
Roy, UT 84067-1334
Phone: (801) 991-0579
Approximate (ZIP-level) locationGet directions
Mailing address
2563 W 5800 S
Roy, UT 84067-1334
Registry dates
- Enumerated
- 2017-05-11
- Last updated
- 2017-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.