| Bx Redirect | |
|
7456 S 1740 E South Weber UT 84405-6636 | |
| (801) 923-8773 | |
| Not Available |
| Full Name | Bx Redirect |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7456 S 1740 E, South Weber, Utah |
| Authorized Official Name and Position | Shandra Kaye Pipkin (OWNER/CEO) |
| Authorized Official Contact | 8019238773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bx Redirect 7456 S 1740 E South Weber UT 84405-6636 Ph: (801) 923-8773 | Bx Redirect 7456 S 1740 E South Weber UT 84405-6636 Ph: (801) 923-8773 |
| NPI Number | 1225406051 |
|---|---|
| Provider Enumeration Date | 09/10/2015 |
| Last Update Date | 03/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225406051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |