Jared Aaron Stewart, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-48023 Issued in UT

Practice address

5455 River Run Dr
Provo, UT 84604-7726

Phone

(801) 342-3436

Fax

(801) 226-8298

NPI assigned

Apr 19, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1205417565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 RIVER RUN DR",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846047726",
            "telephone_number": "801-342-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 RIVER RUN DR",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846047726",
            "telephone_number": "801-342-3436",
            "fax_number": "801-226-8298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 E Sunshine Ct",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840972300",
            "country_code": "US",
            "telephone_number": "801-224-1266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JARED",
        "middle_name": "AARON",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "1-21-48023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Herbert Stewart, M.D.
• Chelsea Stewart
• Daniel Stewart, LCSW
• James Russell Stewart, DO
• Janet P Stewart, APRN
• Libby Stewart
• Matthew David Stewart
• Raynee Stewart
• Scott R Stiefel
• Olivia Stiles

• Behavior Analyst in Provo, UT
• Providers in Provo, 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 4, 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.