Brookelie Mary Baum

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

99-3423588 Issued in UT

Practice address

128 Country Club Dr
Stansbury Park, UT 84074-9143

Phone

(208) 703-1222

NPI assigned

Jan 7, 2026

Last updated

Jan 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1285591636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 COUNTRY CLUB DR",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840749143",
            "telephone_number": "208-703-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 COUNTRY CLUB DR",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840749143",
            "telephone_number": "208-703-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "BROOKELIE",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "UT",
            "license": "99-3423588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Kristopher Anderson, PHARMD
• Anthony Mowrey Enterprises (AMPM Medical Services)
• April Hinton, DDS, PC (Hinton Family Dental)
• Bonneville Academy
• Christy Bou Fadel, MD (MBBS)
• David P Bowman, D.O.
• Brightside Oral Surgery LLC
• Alexa Buerger

• Behavior Technician in Stansbury Park, UT
• Providers in Stansbury Park, UT by specialty
• Behavior Technician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.