Individual provider Active NPI

Austin Erichsen

  • Behavior Analyst
  • West Jordan, UT
National Provider Identifier
1205583531
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12677785-2506 Issued in UT
Practice address
986 W 9000 S Ste 200
West Jordan, UT 84088-5729
Phone
(385) 354-5250
NPI assigned
Mar 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 12677785-2506 UT Primary

Addresses

Primary practice location

986 W 9000 S Ste 200
West Jordan, UT 84088-5729

Mailing address

986 W 9000 S Ste 200
West Jordan, UT 84088-5729
Phone (385) 354-5250

Other names 1

  • Austin Skellenger Former name

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

LicenseStateTypeSpecialty
12677785-2506UTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Integrated Healthcare Services Inc Behavior Analyst Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1205583531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 W 9000 S STE 200",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885729",
            "telephone_number": "385-354-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 W 9000 S STE 200",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885729",
            "telephone_number": "385-354-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICHSEN",
        "first_name": "AUSTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "12677785-2506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUSTIN",
            "last_name": "SKELLENGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.