Individual provider Active NPI

Brandon Cervantes

  • Technician
  • Draper, UT
National Provider Identifier
1205410552
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
Practice address
12637 S 265 W Ste 300
Draper, UT 84020-5403
Phone
(801) 998-8428
NPI assigned
May 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 374700000X Primary

Addresses

Primary practice location

12637 S 265 W Ste 300
Draper, UT 84020-5403

Mailing address

2243 W Canyonlands Cir
Taylorsville, UT 84129-1705
Phone (801) 652-6205

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Office@abilearningcenter.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Autism & Behavioral Intervention, LLC Single Specialty PastSince May 16, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: office@abilearningcenter.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1205410552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 W CANYONLANDS CIR",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841291705",
            "telephone_number": "801-652-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12637 S 265 W STE 300",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205403",
            "telephone_number": "801-998-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Office@abilearningcenter.com",
            "affiliation": "N",
            "address_1": "12637 S 265 W Ste 300",
            "city": "Draper",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840205403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 11, 2021; 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.