Jonah Blake

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-25-474965 Issued in UT

Practice address

844 S 800 W Ste 210
Pleasant Grove, UT 84062-4567

Phone

(801) 923-3537

NPI assigned

Dec 5, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Elevation Behavioral Science Services, PLLC

  • Behavior Analyst
  • North Salt Lake, UT
  • NPI 1326503053

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1104789270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CALLIE CT",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840540165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 S 800 W STE 210",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624567",
            "telephone_number": "801-923-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "JONAH",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "UT",
            "license": "RBT-25-474965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Black
• Katherine Nelson Blackham, FNP-C
• Robert Reese Blackhurst, D.D.S.
• Blake Dental P.C.
• Heath J. Blake, D.D.S
• Brooklyn Blancahrd
• Angie S Bledsoe, MS
• Amelia L Blotter, PA-C
• Marcelle Catherin Bobo
• Melanie Bowcut

• Behavior Technician in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Behavior Technician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.