IndividualActive
Carsen Penrod
NPI 1902639164 · Behavior Technician · Payson, UT
Provider details
- NPI number
- 1902639164
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
1392 W Turf Farm Way Ste 1-153
Payson, UT 84651-5587
Phone: (801) 935-5796
Mailing address
563 S 575 W Unit 3
Springville, UT 84663-3319
Registry dates
- Enumerated
- 2024-08-22
- Last updated
- 2024-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.