Western, Shasta

Western, Shasta is an individual health care provider with primary practice located at 2940 N Church St Ste 303 , Layton UT 84040-6617. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Western, Shasta can be contacted via phone (801) 935-4171.

Contact Information

Primary practice address
2940 N Church St Ste 303 Layton UT 84040-6617
Phone: (801) 935-4171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 110211632506 Utah
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1801386446
LBN Legal business name Western, Shasta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2018
Last updated Oct 29th, 2019 - about 7 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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