Individual provider Active NPI

Courtney Beckstrand Stewart, BCABA

  • Assistant Behavior Analyst
  • Layton, UT
National Provider Identifier
1063973626
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
11486362-2507 Issued in UT
Practice address
2940 N Church St Ste 303
Layton, UT 84040
Phone
(801) 935-4171
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 2814 TX
Assistant Behavior Analyst 106E00000X 11486362-2507 UT Primary

Addresses

Primary practice location

2940 N Church St Ste 303
Layton, UT 84040

Mailing address

2940 N Church St Ste 303
Layton, UT 84040-6617
Phone (801) 935-4147

Other practice location 1

2940 N Church St Ste 303
Layton, UT 84040
Phone (801) 935-4171

Other practice location 2

3501 Sheppard Access Rd
Wichita Falls, TX 76306
Phone (940) 228-5297

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
2814TXMDAssistant Behavior Analyst
11486362-2507UTMDAssistant Behavior Analyst

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1063973626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 N CHURCH ST STE 303",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840406617",
            "telephone_number": "801-935-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N CHURCH ST STE 303",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "84040",
            "telephone_number": "801-935-4171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2940 N Church St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "84040",
            "country_code": "US",
            "telephone_number": "801-935-4171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Sheppard Access Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "76306",
            "country_code": "US",
            "telephone_number": "940-228-5297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "COURTNEY",
        "middle_name": "BECKSTRAND",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "TX",
            "license": "2814",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "UT",
            "license": "11486362-2507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.