Elizabeth Gudiel, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-9529 Issued in CA

Practice address

12222 S 1000 E Ste 4
Draper, UT 84020-3203

Phone

(801) 471-6361

Fax

(801) 753-0397

NPI assigned

Nov 10, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Sandoval Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Parenting Possibilities

  • Behavior Analyst
  • South Jordan, UT
  • NPI 1447694831
  NPD (past)

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1306388178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11506 S WATERSIDE RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840957937",
            "telephone_number": "801-471-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 S 1000 E STE 4",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840203203",
            "telephone_number": "801-471-6361",
            "fax_number": "801-753-0397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2649 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sunset",
            "state": "UT",
            "postal_code": "840152418",
            "country_code": "US",
            "telephone_number": "801-471-6361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1785 W 7888 S",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840884024",
            "country_code": "US",
            "telephone_number": "801-471-6361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUDIEL",
        "first_name": "ELIZABETH",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-9529",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "12215360-2506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SANDOVAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Jeffrey W Groves, MD
• Michelle Grubb, CNM
• Gregg Michael Guilfoyle, DO
• Justin Guillot
• Natalie Anne Gunning, D.P.T.
• Rossi Gunter
• Braeden M Guter

• Behavior Analyst in Draper, UT
• Providers in Draper, UT by specialty
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.