Organization Active NPI

Nova Supports, LLC

  • Behavior Analyst
  • Santaquin, UT
National Provider Identifier
1205699782
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NOVA SUPPORTS, LLC
Practice address
143 W 450 N
Santaquin, UT 84655-7919
Phone
(801) 888-3638
NPI assigned
Feb 6, 2024
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Kylan Heiner, BCBA, LBANPI 1477316958
Title
Owner
Phone
(801) 888-3638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

143 W 450 N
Santaquin, UT 84655-7919

Mailing address

143 W 450 N
Santaquin, UT 84655-7919
Phone (801) 888-3638

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1205699782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 W 450 N",
            "city": "SANTAQUIN",
            "state": "UT",
            "postal_code": "846557919",
            "telephone_number": "801-888-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 W 450 N",
            "city": "SANTAQUIN",
            "state": "UT",
            "postal_code": "846557919",
            "telephone_number": "801-888-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA SUPPORTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "HEINER",
        "authorized_official_first_name": "KYLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-888-3638",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santaquin, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.