Arkansas, Athena

Arkansas, Athena is an individual health care provider with primary practice located at 13947 S Newburg Dr , Herriman UT 84096-6787. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Arkansas, Athena can be contacted via phone (801) 506-6695.

Contact Information

Primary practice address
13947 S Newburg Dr Herriman UT 84096-6787
Phone: (801) 506-6695
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1770104093
LBN Legal business name Arkansas, Athena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2020
Last updated Apr 27th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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