Vittawat Sriphongngarm, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-36623 Issued in UT

Practice address

12637 S 265 W
Draper, UT 84020-5400

Phone

(801) 998-8428

Fax

(801) 407-1611

NPI assigned

Mar 4, 2020

Last updated

Oct 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Better Options Counseling

  • Clinical Social Worker
  • South Jordan, UT
  • NPI 1720685571

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1174158687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12637 S 265 W",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205400",
            "telephone_number": "801-998-8428",
            "fax_number": "801-407-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12637 S 265 W",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205400",
            "telephone_number": "801-998-8428",
            "fax_number": "801-407-1611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1194 W South Jordan Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840955508",
            "country_code": "US",
            "telephone_number": "801-302-3801",
            "fax_number": "801-302-7248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1194 W South Jordan Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840955508",
            "country_code": "US",
            "telephone_number": "801-302-3801",
            "fax_number": "801-302-7248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRIPHONGNGARM",
        "first_name": "VITTAWAT",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-04",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "1-19-36623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vsriphongngarm360130@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Elena Stankevich

• Behavior Analyst in Draper, UT
• Providers in Draper, UT by specialty
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; 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.