Jaelyn Gillett Allen, RBT
Individual provider Active NPI Behavior Technician · Orem, UT
NPI 1245891290 · NPPES record last updated Jun 20, 2019
Key facts
- NPI
- 1245891290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-19-90220 (UT)
- Practice address
- 1443 W 800 N Ste 103
Orem, UT 84057-2878 - Phone
- (801) 655-4950
- NPI assigned
- Jun 20, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| RBT-19-90220 | UT | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-90220 | UT | Yes |
Addresses
Primary practice location
1443 W 800 N Ste 103
Orem, UT 84057-2878
Mailing address
1443 W 800 N Ste 103
Orem, UT 84057-2878
Other practice location 1
4933 S 1500 W Ste 110
Riverdale, UT 84405-7738
Phone (801) 820-6420
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2019. 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.