Provider Demographics
NPI:1538620836
Name:NOORDA, CYNTHIA AMANDA
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:AMANDA
Last Name:NOORDA
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 1:2368 E 3395 S
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84109-3038
Mailing Address - Country:US
Mailing Address - Phone:435-770-4507
Mailing Address - Fax:
Practice Address - Street 1:13894 S BANGERTER PKWY
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-5316
Practice Address - Country:US
Practice Address - Phone:801-435-8088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician