Individual
CARRIE BEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSG
Contact information
Practice address
515 S 250 E, IVINS, UT 84738-5059
(714) 502-4012
Mailing address
515 S 250 E, IVINS, UT 84738-5059
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10825328-4901
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10825328-4901
UTAH DOPL DIETITIAN CERTIFICATION
UT
01
—
3167
DIETITIAN LICENSE
SC
01
—
86079203
COMMISSION ON DIETETIC REGISTRATION
—
01
—
DI61543401
WASHINGTON STATE DIETITIAN CERTIFICATION
WA
01
—
LD-D-10242268
OREGON HEALTH LICENSING - BOARD OF LICENSED DIETITIANS
OR
Enumeration date
07/15/2025
Last updated
07/15/2025
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