Provider Demographics
NPI:1497327795
Name:PALMER, MAYCEE (RBT)
Entity Type:Individual
Prefix:
First Name:MAYCEE
Middle Name:
Last Name:PALMER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1438 N HIGHWAY 89 STE 130
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84025-2737
Mailing Address - Country:US
Mailing Address - Phone:801-200-1444
Mailing Address - Fax:801-513-5608
Practice Address - Street 1:1438 N HIGHWAY 89 STE 130
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:UT
Practice Address - Zip Code:84025-2737
Practice Address - Country:US
Practice Address - Phone:801-200-1444
Practice Address - Fax:801-513-5608
Is Sole Proprietor?:No
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician