Martindale, Josepheve

Martindale, Josepheve is an individual health care provider with primary practice located at 415 Medical Dr Ste D101 , Bountiful UT 84010-8905. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Martindale, Josepheve can be contacted via phone (801) 683-1062.

Contact Information

Primary practice address
415 Medical Dr Ste D101 Bountiful UT 84010-8905
Phone: (801) 683-1062
Fax: (801) 295-5537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 01-17-8434 Utah
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 10684061-2506 Utah

Profile Details

NPI number 1023554441
LBN Legal business name Martindale, Josepheve
Credentials BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2017
Last updated Jul 13th, 2020 - about 5 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 1023554441 NPPES
Utah MEDICAID 1023554441

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