Active NPI
Richard Jose Robles, BCBA, LBA
- Behavior Analyst
- Tooele, UT
National Provider Identifier
1104361310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 10194661-2506
- Practice address
- 27 S Main St Ste 7
Tooele, UT 84074-2158 - Phone
- (510) 305-9391
- Fax
- (435) 228-2494
- NPI assigned
- Dec 23, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 10194661-2506 | UT | Primary |
Addresses
Primary practice location
27 S Main St Ste 7
Tooele, UT 84074-2158
Mailing address
122 Stern CT
Tooele, UT 84074-8012
Phone (510) 305-9391
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 |
|---|---|---|---|
| 10194661-2506 | UT | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Supports and Solutions LLC | Behavior Analyst | Current | Accepting new patients |
| RJR Consultants LLC | Past | Accepting new patients |
Locations
27 S Main St
Ste 7
Tooele, UT 84074
Phone (510) 305-9391
Organizations & group practices 2
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.
-
- Early Intervention Provider Agency
- Salt Lake City, UT
- NPI 1396280509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1104361310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 STERN CT",
"city": "TOOELE",
"state": "UT",
"postal_code": "840748012",
"telephone_number": "510-305-9391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 S MAIN ST STE 7",
"city": "TOOELE",
"state": "UT",
"postal_code": "840742158",
"telephone_number": "510-305-9391",
"fax_number": "435-228-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLES",
"first_name": "RICHARD",
"middle_name": "JOSE",
"credential": "BCBA, LBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-23",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "UT",
"license": "10194661-2506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.