Shaughnessy Peacock – Behavior Analyst in Orem, UT

Key facts

NPI: 1225799208
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Analyst 103K00000X
License: 14111821-2506 (UT)
Practice address: 1875 S Geneva Rd
Orem, UT 84058-2217
Phone: (801) 437-0490
NPI assigned: Jan 3, 2022
Sex: Female
Sole proprietor: No

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.

Utah Autism Academy Developmentally Disabled Services Day Training Agency · Midvale, UT · NPI 1972934537

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
14111821-2506	UT	MD	Behavioral Analyst

Practice roles

Organization	Specialty	Status	New patients
Utah Autism Academy		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	14111821-2506	UT	Yes

Addresses

Primary practice location

1875 S Geneva Rd
Orem, UT 84058-2217

Mailing address

1875 S Geneva Rd
Orem, UT 84058-2217
Phone (801) 437-0490

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 4, 2026.

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1225799208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 S GENEVA RD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840582217",
            "telephone_number": "801-437-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 S GENEVA RD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840582217",
            "telephone_number": "801-437-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "SHAUGHNESSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "14111821-2506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

All providers in Orem, UT · Behavior Analyst in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.