Active NPI
Melissa Drennen, MA, BCBA
- Behavior Analyst
- Salt Lake City, UT
National Provider Identifier
1073996328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 515 700 E
Suite 2a
Salt Lake City, UT 84102 - Phone
- (800) 434-8923
- NPI assigned
- Jul 6, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | UT | Primary |
Addresses
Primary practice location
515 700 E
Suite 2a
Salt Lake City, UT 84102
Mailing address
515 S 700 E Ste 2a
Salt Lake City, UT 84102-2855
Phone (385) 227-8653
Other practice location 1
3225 Independence Rd
Canon City, CO 81212
Phone (719) 275-2351
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington ABA Utah LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Bountiful, UT
- NPI 1114595873
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1073996328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 S 700 E STE 2A",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022855",
"telephone_number": "385-227-8653",
"fax_number": "801-935-4946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 700 E",
"address_2": "SUITE 2A",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84102",
"telephone_number": "800-434-8923"
}
],
"practiceLocations": [
{
"address_1": "3225 Independence Rd",
"address_purpose": "LOCATION",
"city": "Canon City",
"state": "CO",
"postal_code": "81212",
"country_code": "US",
"telephone_number": "719-275-2351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRENNEN",
"first_name": "MELISSA",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-06",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.