Isaac Atkinson, RBT
Individual provider Active NPI Behavior Technician · South Ogden, UT
NPI 1093559940 · NPPES record last updated Jun 24, 2024
Key facts
- NPI
- 1093559940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-36789 (UT)
- Practice address
- 6033 Fashion Point Dr
South Ogden, UT 84403-4847 - Phone
- (605) 271-2690
- NPI assigned
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-36789 | UT | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-36789 | UT | Yes |
Addresses
Primary practice location
6033 Fashion Point Dr
South Ogden, UT 84403-4847
Mailing address
1105 W Russell St
Sioux Falls, SD 57104-1322
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All providers in South Ogden, UT · Behavior Technician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.