Individual provider Active NPI

Cassie Ann Sorenson, BCBA

  • Behavior Analyst
  • Orem, UT
National Provider Identifier
1033655469
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11230491-2506 Issued in UT
Practice address
1111 S 1350 W
Orem, UT 84058-3817
Phone
(801) 935-4171
NPI assigned
Jan 9, 2017
Last updated
Oct 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11230491-2506 UT Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

1111 S 1350 W
Orem, UT 84058-3817

Mailing address

515 S 700 E Ste 2a
SLC, UT 84102-2855
Phone (801) 935-4171

Other practice location 1

515 S 700 E Ste 2A
Slc, UT 84102-2855
Phone (801) 935-4171 ext. 714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11230491-2506UTMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1033655469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S 700 E STE 2A",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841022855",
            "telephone_number": "801-935-4171",
            "fax_number": "888-261-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S 1350 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840583817",
            "telephone_number": "801-935-4171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 S 700 E Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Slc",
            "state": "UT",
            "postal_code": "841022855",
            "country_code": "US",
            "telephone_number": "801-935-4171 x714",
            "fax_number": "888-261-6694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "CASSIE",
        "middle_name": "ANN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "11230491-2506",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.