Provider Demographics
NPI:1265225478
Name:BROWN-LASSIG, HAIDEN
Entity type:Individual
Prefix:
First Name:HAIDEN
Middle Name:
Last Name:BROWN-LASSIG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4881 S 1900 W
Mailing Address - Street 2:
Mailing Address - City:ROY
Mailing Address - State:UT
Mailing Address - Zip Code:84067-2920
Mailing Address - Country:US
Mailing Address - Phone:385-926-9644
Mailing Address - Fax:
Practice Address - Street 1:4881 S 1900 W
Practice Address - Street 2:
Practice Address - City:ROY
Practice Address - State:UT
Practice Address - Zip Code:84067-2920
Practice Address - Country:US
Practice Address - Phone:385-926-9644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician