Provider Demographics
NPI:1790397115
Name:ARRANT, SIERRA JADE COLE
Entity Type:Individual
Prefix:
First Name:SIERRA JADE
Middle Name:COLE
Last Name:ARRANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 W 800 S
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84701-2839
Mailing Address - Country:US
Mailing Address - Phone:253-514-7130
Mailing Address - Fax:
Practice Address - Street 1:270 W 800 S
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84701-2839
Practice Address - Country:US
Practice Address - Phone:253-514-7130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst