NPI 1063062164

State of Utah, Department of Health

Organisation Early Intervention Provider Agency Ogden, UT

Practice location

Address: 2540 Washington Blvd STE 122, Ogden, UT 84401-3112
Phone: (801) 626-0256
Mailing address: PO Box 144720, Salt Lake City, UT 84114-4720

Authorised official

Name: Mykio Saracino
Title: Financial Manager
Phone: (385) 228-4798

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Utah →

Registry record

NPI: 1063062164
Entity type: Organization
NPI issued: 19 Sep 2019
Record last updated: 19 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.