Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katie Nicole Vidrine

Individual provider Behavior Technician · NPI 1174379697

Katie Nicole Vidrine is a Behavior Technician in Bountiful, Utah. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

415 Medical Dr Ste A100
Bountiful, UT 84010-4995
Phone: (801) 683-1062
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1174379697
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 25, 2024
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

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