Active NPI
Anna Rose Jeppson, BCBA
- Behavior Analyst
- Murray, UT
National Provider Identifier
1235650219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 4444 S 700 E Ste 203
Murray, UT 84107-3075 - Phone
- (801) 688-9493
- NPI assigned
- Jun 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | UT | Primary |
Addresses
Primary practice location
4444 S 700 E Ste 203
Murray, UT 84107-3075
Mailing address
1560 E Harvard Ave
Salt Lake City, UT 84105-1726
Phone (801) 688-9493
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498694400000",
"number": "1235650219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E HARVARD AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841051726",
"telephone_number": "18016889493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 S 700 E STE 203",
"city": "MURRAY",
"state": "UT",
"postal_code": "841073075",
"telephone_number": "801-688-9493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEPPSON",
"first_name": "ANNA",
"middle_name": "ROSE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-29",
"last_updated": "2017-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.