Individual provider Active NPI

Bari Utain, BCABA

  • Assistant Behavior Analyst
  • Palm Beach Gardens, FL
National Provider Identifier
1235499682
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
011-4386 Issued in NJ
Practice address
5162 Elpine Way
Palm Beach Gardens, FL 33418-7848
Phone
(609) 332-3454
NPI assigned
May 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 011-4386 NJ Primary

Addresses

Primary practice location

5162 Elpine Way
Palm Beach Gardens, FL 33418-7848

Mailing address

5162 Elpine Way
Palm Beach Gardens, FL 33418-7848
Phone (609) 332-3454

Other identifiers 1

IdentifierTypeStateIssuer
018706100MedicaidFL

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
011-4386NJMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Behaviorial Journeys LLC CurrentSince Aug 9, 2020 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": "1337385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1235499682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5162 ELPINE WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334187848",
            "telephone_number": "609-332-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5162 ELPINE WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334187848",
            "telephone_number": "609-332-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTAIN",
        "first_name": "BARI",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-19",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NJ",
            "license": "011-4386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018706100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.