NPIMap

Organization Active NPI

Re Therapy Services

  • Behavior Analyst
  • Spanish Fork, UT
National Provider Identifier
1124518139
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RE THERAPY SERVICES
Practice address
727 S Main St
Spanish Fork, UT 84660-2449
Phone
(801) 210-9319
Fax
(801) 210-2090
NPI assigned
May 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Authorized official

Name
Alycen Decosta, CCC-SLPNPI 1720506710
Title
Owner
Phone
(801) 210-9319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

727 S Main St
Spanish Fork, UT 84660-2449

Mailing address

727 S Main St
Spanish Fork, UT 84660-2449
Phone (801) 210-9319

National Provider Directory

National Provider Directory
Tax ID family
Re Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

727 S Main St
Spanish Fork, UT 84660
Phone (801) 210-9319

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1124518139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 S MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602449",
            "telephone_number": "801-210-9319",
            "fax_number": "801-210-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 S MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602449",
            "telephone_number": "801-210-9319",
            "fax_number": "801-210-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "DECOSTA",
        "authorized_official_first_name": "ALYCEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-210-9319",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.