Individual provider Active NPI

Rebecca Raelyn Doyle, MA, BCBA, LBA

  • Developmental Therapist
  • Layton, UT
National Provider Identifier
1306206719
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
209 E Gordon Ave
Layton, UT 84041-2341
Phone
(801) 200-1574
Fax
(801) 513-5608
NPI assigned
Feb 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 10432335-2506 UT
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

209 E Gordon Ave
Layton, UT 84041-2341

Mailing address

1959 N 350 W
Sunset, UT 84015-3513
Phone (337) 353-6166

Other practice location 1

1959 N 350 W
Sunset, UT 84015-3513
Phone (337) 353-6166

Other practice location 2

1438 N Highway 89 Ste 130
Farmington, UT 84025-2737
Phone (801) 200-1574

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
10432335-2506UTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Limitless Potential, LL Behavior Analyst CurrentSince Jul 9, 2023 Accepting new patients
Catalyst Behavior Solutions Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1306206719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 N 350 W",
            "city": "SUNSET",
            "state": "UT",
            "postal_code": "840153513",
            "telephone_number": "337-353-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E GORDON AVE",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412341",
            "telephone_number": "801-200-1574",
            "fax_number": "801-513-5608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 N 350 W",
            "address_purpose": "LOCATION",
            "city": "Sunset",
            "state": "UT",
            "postal_code": "840153513",
            "country_code": "US",
            "telephone_number": "337-353-6166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1438 N Highway 89 Ste 130",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "UT",
            "postal_code": "840252737",
            "country_code": "US",
            "telephone_number": "801-200-1574",
            "fax_number": "801-513-5608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "REBECCA",
        "middle_name": "RAELYN",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "10432335-2506",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.