IndividualActive
Marisol Mikesell
NPI 1700524378 · Behavior Technician · Taylorsville, UT
Provider details
- NPI number
- 1700524378
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6013 S Redwood Rd
Taylorsville, UT 84123-5220
Phone: (801) 255-5131
Approximate (ZIP-level) locationGet directions
Mailing address
6013 S Redwood Rd
Taylorsville, UT 84123-5220
Registry dates
- Enumerated
- 2022-05-24
- Last updated
- 2022-05-24
- Certified
- 2022-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.