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

Raven Roche

Individual provider Behavior Technician · NPI 1215787403

Raven Roche 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 84010-6616
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 number1215787403
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2024
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address16255 Ventura Blvd Ste 830, Encino, CA 91436-2317

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