Active NPI
Jesse Yarger
- Behavior Analyst
- West Haven, UT
National Provider Identifier
1194196162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 9550469-2506
- Practice address
- 3950 W 4100 S
West Haven, UT 84401-8815 - Phone
- (385) 321-7880
- NPI assigned
- Oct 15, 2015
- Sex
- Male
- 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 | 9550469-2506 | UT | Primary |
Addresses
Primary practice location
3950 W 4100 S
West Haven, UT 84401-8815
Mailing address
668 N Stonne LN
Kaysville, UT 84037-1188
Phone (385) 321-7880
Other practice location 1
668 N Stonne Ln
Kaysville, UT 84037-1188
Phone (385) 321-7880
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1132 | Other | CT | DEPARTMENT OF PUBLIC HEALTH |
| 32891472 | Other | INTERNATIONAL BEHAVIOR ANALYSIS ORGANIZATION | |
| 9550469-2506 | Other | UT | DEPARTMENT OF OCCUPATIONAL AND PROFESSIONAL LICENSING |
| LBA0556 | Other | NV | AGING AND DISABILITY SERVICES DIVISION |
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 |
|---|---|---|---|
| 9550469-2506 | UT | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360 Autism Evaluations | Current | Accepting new patients | |
| Rogue Behavior Services LLC | Behavior Analyst | Current | Accepting new patients |
| Neurobehavioral Center for Growth LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Cognitive & Behavioral Psychologist
- Kaysville, UT
- NPI 1407650484
-
- Behavior Analyst
- West Haven, UT
- NPI 1982368544
-
- Psychologist
- Bountiful, UT
- NPI 1942641931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1194196162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 N STONNE LN",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840371188",
"telephone_number": "385-321-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 W 4100 S",
"city": "WEST HAVEN",
"state": "UT",
"postal_code": "844018815",
"telephone_number": "385-321-7880"
}
],
"practiceLocations": [
{
"address_1": "668 N Stonne Ln",
"address_purpose": "LOCATION",
"city": "Kaysville",
"state": "UT",
"postal_code": "840371188",
"country_code": "US",
"telephone_number": "385-321-7880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YARGER",
"first_name": "JESSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-15",
"last_updated": "2022-06-13",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "UT",
"license": "9550469-2506",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF PUBLIC HEALTH",
"identifier": "1132",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL BEHAVIOR ANALYSIS ORGANIZATION",
"identifier": "32891472",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF OCCUPATIONAL AND PROFESSIONAL LICENSING",
"identifier": "9550469-2506",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGING AND DISABILITY SERVICES DIVISION",
"identifier": "LBA0556",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Haven, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.