Provider Demographics
NPI:1568926186
Name:ARAGON, TIMOTHY ANDREW
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:ANDREW
Last Name:ARAGON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 N EAST PROMONTORY STE 270
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84025-2964
Mailing Address - Country:US
Mailing Address - Phone:801-382-8238
Mailing Address - Fax:866-560-4702
Practice Address - Street 1:172 N EAST PROMONTORY STE 270
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:UT
Practice Address - Zip Code:84025-2964
Practice Address - Country:US
Practice Address - Phone:801-382-8238
Practice Address - Fax:866-560-4702
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
UT3082786-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker