Active NPI
Kacy Rodamaker
- Behavior Analyst
- Draper, UT
National Provider Identifier
1164100475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 14203521-2506
- Practice address
- 12272 S 800 E
Draper, UT 84020-9789 - Phone
- (435) 797-4200
- NPI assigned
- Jul 6, 2023
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | 14203521-2506 | UT | Primary |
Addresses
Primary practice location
12272 S 800 E
Draper, UT 84020-9789
Mailing address
919 Callie CT
North Salt Lake, UT 84054-0165
Phone (612) 619-2350
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 |
|---|---|---|---|
| 14203521-2506 | UT | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1164100475",
"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",
"telephone_number": "612-619-2350",
"fax_number": "801-753-0744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12272 S 800 E",
"city": "DRAPER",
"state": "UT",
"postal_code": "840209789",
"telephone_number": "435-797-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODAMAKER",
"first_name": "KACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-06",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "UT",
"license": "14203521-2506",
"primary": true
}
],
"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 May 28, 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.