Cami Kuipers Anderson
Individual provider Active NPI Behavior Analyst · Salt Lake City, UT
NPI 1104124866 · NPPES record last updated Jan 11, 2018
Key facts
- NPI
- 1104124866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 10646537-2506 (UT)
- Practice address
- 5965 S 900 E
Salt Lake City, UT 84121-1720 - Phone
- (801) 263-7100
- NPI assigned
- Mar 4, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 10646537-2506 | UT | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Behavior Consulting | Behavior Analyst | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 10646537-2506 | UT | Yes |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
5965 S 900 E
Salt Lake City, UT 84121-1720
Mailing address
330 N 200 W
Smithfield, UT 84335-1810
Phone (435) 757-3548
Other providers in Salt Lake City, UT
- Brennen Keith Anderson
- Briawna Aika Anderson
- Brydon Anderson
- Brynley Anderson
- Bryson Wells Anderson
- Carrie Anderson
- Carrie Ann Anderson
- Chelsey L Anderson
- Chloe Anderson
- Chris Anderson
All providers in Salt Lake City, UT · Behavior Analyst in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2018. 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.