Provider Demographics
NPI:1740047521
Name:ARNOLD, BRIEN P (RBT)
Entity type:Individual
Prefix:
First Name:BRIEN
Middle Name:P
Last Name:ARNOLD
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3773 S OLD SILO WAY
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-4022
Mailing Address - Country:US
Mailing Address - Phone:801-719-1582
Mailing Address - Fax:
Practice Address - Street 1:3773 S OLD SILO WAY
Practice Address - Street 2:
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84119-4022
Practice Address - Country:US
Practice Address - Phone:801-719-1582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-28
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTRBT-24-330849106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician