IndividualActive
Brenan Godfrey, RBT
NPI 1861157877 · Behavior Technician · Providence, UT
Provider details
- NPI number
- 1861157877
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
545 W 465 N Ste 100
Providence, UT 84332-8004
Phone: (435) 671-3255
Approximate (ZIP-level) locationGet directions
Mailing address
1443 W 800 N Ste 103
Orem, UT 84057-2878
Registry dates
- Enumerated
- 2021-11-04
- Last updated
- 2021-11-04
- Certified
- 2021-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.