IndividualActive
Shannon Quiner
NPI 1699191684 · Emotionally Disturbed Childrens' Residential Treatment Facility · Provo, UT
Provider details
- NPI number
- 1699191684
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
836 N 1375 W
Provo, UT 84604-3049
Phone: (801) 375-2523
Approximate (ZIP-level) locationGet directions
Mailing address
836 N 1375 W
Provo, UT 84604-3049
Registry dates
- Enumerated
- 2014-03-13
- Last updated
- 2014-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.