IndividualActive
Athena Arkansas
NPI 1770104093 · Behavior Technician · Herriman, UT
Provider details
- NPI number
- 1770104093
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Community Health Worker172V00000X
Other Service Providers
Practice location
13947 S Newburg Dr
Herriman, UT 84096-6787
Phone: (801) 506-6695
Approximate (ZIP-level) locationGet directions
Mailing address
13947 S Newburg Dr
Herriman, UT 84096-6787
Registry dates
- Enumerated
- 2020-04-27
- Last updated
- 2020-04-27
- Certified
- 2020-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.