NPIMap

Organization Active NPI

Autism & Behavioral Intervention, LLC

  • Behavior Analyst
  • Draper, UT
National Provider Identifier
1144610502
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
9830988-2506 Issued in UT
Legal business name
AUTISM & BEHAVIORAL INTERVENTION, LLC
Practice address
12350 S 800 E
Draper, UT 84020-9712
Phone
(801) 998-8428
NPI assigned
Jan 23, 2015
Last updated
Oct 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Anika Hoybjerg, BCBANPI 1053709469
Title
Director
Phone
(801) 998-8428

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X
Behavior Analyst 103K00000X 9830988-2506 UT Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

12350 S 800 E
Draper, UT 84020-9712

Mailing address

12350 S 800 E
Draper, UT 84020-9712
Phone (801) 998-8428

National Provider Directory

National Provider Directory

Locations

12637 S 265 W
Ste 300
Draper, UT 84020
Phone (801) 609-4086

Practitioners & affiliated clinicians

Practitioners 80

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1144610502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12350 S 800 E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209712",
            "telephone_number": "801-998-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 S 800 E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209712",
            "telephone_number": "801-998-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM & BEHAVIORAL INTERVENTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "HOYBJERG",
        "authorized_official_first_name": "ANIKA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-998-8428",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "9830988-2506",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.