NPIMap

Organization Active NPI

Blue Autism Center

  • Behavior Analyst
  • Murray, UT
National Provider Identifier
1003453275
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BLUE AUTISM CENTER
Practice address
1233 W Brister Dr
Murray, UT 84123-7927
Phone
(925) 338-4764
NPI assigned
Dec 5, 2019
Last updated
Dec 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mayra Uchoa Martins, MA, BCBANPI 1972963387
Title
Executive Director
Phone
(925) 338-4764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1233 W Brister Dr
Murray, UT 84123-7927

Mailing address

1233 W Brister Dr
Murray, UT 84123-7927
Phone (925) 338-4764

National Provider Directory

National Provider Directory

Locations

2540 E Bengal Blvd
Cottonwood Heights, UT 84121
Phone (801) 495-5105

2540 E Bengal Blvd
Ste 300
Cottonwood Heights, UT 84121
Phone (801) 495-5100

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 48

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1003453275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 W BRISTER DR",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841237927",
            "telephone_number": "925-338-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 W BRISTER DR",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841237927",
            "telephone_number": "925-338-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "MARTINS",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_middle_name": "UCHOA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "925-338-4764",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.