Individual provider Active NPI

Kori P Esplin, MS, BCBA, LBA

  • Behavior Analyst
  • Orem, UT
National Provider Identifier
1104488014
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-41111 Issued in CO
Practice address
475 W 260 N
Orem, UT 84057-1970
Phone
(801) 221-9930
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-41111 CO Primary

Addresses

Primary practice location

475 W 260 N
Orem, UT 84057-1970

Mailing address

7220 W Jefferson Ave Ste 202
Lakewood, CO 80235-2023
Phone (720) 376-1154

Other identifiers 1

IdentifierTypeStateIssuer
1396085718MedicaidUT

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 Science

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1104488014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 W JEFFERSON AVE STE 202",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352023",
            "telephone_number": "720-376-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 W 260 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571970",
            "telephone_number": "801-221-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPLIN",
        "first_name": "KORI",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-20-41111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396085718",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.