Active NPI
Kerry Farr, BCBA
- Behavior Analyst
- American Fork, UT
National Provider Identifier
1073332698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11672488-2506
- Practice address
- 747 E 500 S Unit a
American Fork, UT 84003-2995 - Phone
- (435) 754-6560
- NPI assigned
- Oct 9, 2024
- Last updated
- Oct 9, 2024
- Sex
- Female
- 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 Analyst | 103K00000X | 11672488-2506 | UT | Primary |
Addresses
Primary practice location
747 E 500 S Unit a
American Fork, UT 84003-2995
Mailing address
747 E 500 S Unit a
American Fork, UT 84003-2995
Phone (435) 754-6560
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11672488-2506 | UT | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1073332698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 E 500 S UNIT A",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032995",
"telephone_number": "435-754-6560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 E 500 S UNIT A",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032995",
"telephone_number": "435-754-6560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARR",
"first_name": "KERRY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "UT",
"license": "11672488-2506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in American Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.