Jacob Hillman, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12379614-2506 Issued in UT

Practice address

2940 N Church St Ste 204
Layton, UT 84040-6616

Phone

(208) 821-7770

NPI assigned

Jul 19, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1003489022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S 875 E",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840156264",
            "telephone_number": "208-821-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N CHURCH ST STE 204",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840406616",
            "telephone_number": "208-821-7770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "249 E Tabernacle St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saint George",
            "state": "UT",
            "postal_code": "847702951",
            "country_code": "US",
            "telephone_number": "435-705-7574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLMAN",
        "first_name": "JACOB",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "12379614-2506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "12379614-2506",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Waters Hill
• Mark L. Hill, MD
• Tobin Earl Hill, ARNP
• Trenton Kahai Hill, PT, DPT
• Hillfield Pediatric & Family Dentistry Inc.
• Lesli Ann Hilton
• Annette Ranae Himes, DNP, CNM, WHNP
• Catherine Hines
• Constance Hines
• Kylah Hinton

• Behavior Analyst in Layton, UT
• Providers in Layton, UT by specialty
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.