Chidester, Darcie-Lynne Carlena

Chidester, Darcie-Lynne Carlena is an individual health care provider with primary practice located at 475 W 260 N , Orem UT 84057-1970. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Chidester, Darcie-Lynne Carlena can be contacted via phone (801) 221-9930.

Contact Information

Primary practice address
475 W 260 N Orem UT 84057-1970
Phone: (801) 221-9930
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1093220667
LBN Legal business name Chidester, Darcie-Lynne Carlena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2017
Last updated Dec 5th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093220667 NPPES
Utah MEDICAID 1396085718

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