Active NPI
Brandon Cervantes
- Technician
- Draper, UT
National Provider Identifier
1205410552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- 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
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 |
|---|---|---|---|---|
| Technician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism & Behavioral Intervention, LLC | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- 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.