IndividualActive
Angelina Ponciano
NPI 1780545574 · Behavior Technician · Bountiful, UT
Provider details
- NPI number
- 1780545574
- 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
415 Medical Dr Ste A100
Bountiful, UT 84010-4995
Phone: (801) 683-1062
Approximate (ZIP-level) locationGet directions
Mailing address
415 Medical Dr Ste A100
Bountiful, UT 84010-4995
Registry dates
- Enumerated
- 2025-11-20
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.