Active NPI
Jacob Reece Horton, RBT
- Behavior Technician
- Providence, UT
National Provider Identifier
1043859226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 545 W 465 N Ste 100
Providence, UT 84332-8004 - Phone
- (435) 753-6606
- NPI assigned
- Jan 5, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | UT | Primary |
Addresses
Primary practice location
545 W 465 N Ste 100
Providence, UT 84332-8004
Mailing address
1443 W 800 N Ste 103
Orem, UT 84057-2878
Phone (801) 655-4950
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578182400000",
"number": "1043859226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1443 W 800 N STE 103",
"city": "OREM",
"state": "UT",
"postal_code": "840572878",
"telephone_number": "801-655-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 W 465 N STE 100",
"city": "PROVIDENCE",
"state": "UT",
"postal_code": "843328004",
"telephone_number": "435-753-6606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON",
"first_name": "JACOB",
"middle_name": "REECE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-05",
"last_updated": "2020-01-05",
"certification_date": "2020-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.