NPIMap

Organization Active NPI

Utah Applied Behavior Analysis

  • Behavior Analyst
  • Spanish Fork, UT
National Provider Identifier
1083461925
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
UTAH APPLIED BEHAVIOR ANALYSIS
Practice address
79 N Maple Leaf Dr
Spanish Fork, UT 84660-6145
Phone
(619) 787-3882
NPI assigned
Apr 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Kristian Giordano
Title
Managing Member
Phone
(619) 787-3882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

79 N Maple Leaf Dr
Spanish Fork, UT 84660-6145

Mailing address

223 W Cougar Blvd Ste 412
Provo, UT 84604-2546

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1083461925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W COUGAR BLVD STE 412",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846042546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 N MAPLE LEAF DR",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846606145",
            "telephone_number": "619-787-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH APPLIED BEHAVIOR ANALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "GIORDANO",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "619-787-3882"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.