Active NPI
Lacey Guest
- Behavior Technician
- Tooele, UT
National Provider Identifier
1114674314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-205700
- Practice address
- 272 N Broadway St Ste 101
Tooele, UT 84074-2244 - Phone
- (801) 771-0273
- NPI assigned
- Mar 7, 2022
- Sex
- Female
- 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 Technician | 106S00000X | RBT-22-205700 | UT | Primary |
Addresses
Primary practice location
272 N Broadway St Ste 101
Tooele, UT 84074-2244
Mailing address
2985 N 935 E Ste 7
Layton, UT 84040-7318
Phone (801) 771-0273
Other practice location 1
2985 N 935 E Ste 7
Layton, UT 84040-7318
Phone (801) 771-0273
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 |
|---|---|---|---|
| RBT-22-205700 | UT | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ibehave Therapy Group LLC. | Single Specialty | Current | Accepting new patients |
Locations
2985 N 935 E
Ste 7
Layton, UT 84040
Phone (801) 564-1748
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1114674314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2985 N 935 E STE 7",
"city": "LAYTON",
"state": "UT",
"postal_code": "840407318",
"telephone_number": "801-771-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 N BROADWAY ST STE 101",
"city": "TOOELE",
"state": "UT",
"postal_code": "840742244",
"telephone_number": "801-771-0273"
}
],
"practiceLocations": [
{
"address_1": "2985 N 935 E Ste 7",
"address_purpose": "LOCATION",
"city": "Layton",
"state": "UT",
"postal_code": "840407318",
"country_code": "US",
"telephone_number": "801-771-0273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUEST",
"first_name": "LACEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-07",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "UT",
"license": "RBT-22-205700",
"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 Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.