NPIMap

Individual provider Active NPI

Jeanelle Young

  • Behavior Analyst
  • Salt Lake City, UT
National Provider Identifier
1245651058
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11703538-2506 Issued in UT
Practice address
515 S 700 E Ste 2a
Salt Lake City, UT 84102-2855
Phone
(801) 935-4171
Fax
(801) 935-4946
NPI assigned
Dec 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-13-14505 CA
Behavior Analyst 103K00000X 11703583-2506 UT
Behavior Analyst 103K00000X 11703538-2506 UT Primary

Addresses

Primary practice location

515 S 700 E Ste 2a
Salt Lake City, UT 84102-2855

Mailing address

515 S 700 E Ste 2a
Salt Lake City, UT 84102-2855
Phone (801) 935-4171

Other practice location 1

1140 W. 1130 S.
Building B
Orem, UT 84058
Phone (801) 935-4171

Other names 1

  • Jeanelle Jay Former name

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
11703538-2506UTMDBehavioral Analyst
11703583-2506UTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Behavior Strategies, LLC Behavior Analyst Past Accepting new patients
Abs Utah, P.C. Past Accepting new patients
Passport to Adaptive Living Behavior Analyst Past Accepting new patients

Organizations & group practices 3

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": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1245651058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S 700 E STE 2A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022855",
            "telephone_number": "801-935-4171",
            "fax_number": "801-935-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S 700 E STE 2A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022855",
            "telephone_number": "801-935-4171",
            "fax_number": "801-935-4946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 W. 1130 S.",
            "address_2": "Building B",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "84058",
            "country_code": "US",
            "telephone_number": "801-935-4171",
            "fax_number": "801-935-4946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JEANELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-14505",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "11703583-2506",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "11703538-2506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANELLE",
            "last_name": "JAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.