Provider Demographics
NPI:1457153744
Name:GREENHALGH, ANNABELLA CINDERELLA (RBT)
Entity type:Individual
Prefix:
First Name:ANNABELLA
Middle Name:CINDERELLA
Last Name:GREENHALGH
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3006 S HIGHLAND DR STE 210
Mailing Address - Street 2:
Mailing Address - City:MILLCREEK
Mailing Address - State:UT
Mailing Address - Zip Code:84106-6004
Mailing Address - Country:US
Mailing Address - Phone:801-647-3920
Mailing Address - Fax:801-931-2607
Practice Address - Street 1:3006 S HIGHLAND DR STE 210
Practice Address - Street 2:
Practice Address - City:MILLCREEK
Practice Address - State:UT
Practice Address - Zip Code:84106-6004
Practice Address - Country:US
Practice Address - Phone:801-647-3920
Practice Address - Fax:801-931-2607
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician