Azure Green
Azure Green is a Behavior Technician in Provo, Utah. Licensed in Utah. Registered with an NPI since 2026.
- Licensed in
- UT
- In the registry since
- 2026
Practice location Address checks out
585 E 1860 S Bldg 6Provo, UT 84606-7312
Phone: (801) 935-4171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (UT) |
|---|
Record details
| NPI number | 1720931611 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 19, 2026 |
| Last updated in NPPES | February 19, 2026 |
| Certification date | February 19, 2026 |
| Mailing address | 16255 Ventura Blvd Ste 900, Encino, CA 91436-2317 |
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585 Lakeview Pkwy Bdlg 6, Provo, UT 84606 · (801) 935-4171
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Samantha Hansen
585 E 1860 S Bldg 6, Provo, UT 84606-7312 · (801) 935-4171