Brent Jack Edman

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

51 W 3900 S
Salt Lake City, UT 84107-1431

Phone

(801) 266-4363

NPI assigned

Jan 23, 2015

Sex

Male

Sole proprietor

No

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": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1215327655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 W 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071431",
            "telephone_number": "801-266-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 W 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071431",
            "telephone_number": "801-266-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMAN",
        "first_name": "BRENT",
        "middle_name": "JACK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Ediger, AU.D.
• Edison Stanford
• Stanley Lee Edison Jr.
• Linda Edlefsen, M.S.
• Erik Edlund
• Peter J. Edmonds, MD
• Thomas Edmonds
• Alyson Elaine Edmunds, MD
• Erika Nicole Edmundson, SSW
• Austin Edvalson

• Behavior Analyst in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.