Nichelle Ann Stephens, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

5984 S Susquehanna
Murray, UT 84123-5527

Phone

(801) 913-9963

NPI assigned

May 30, 2019

Last updated

May 30, 2019By 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

Other names 1

• Nichelle Ann Tanner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Autism Therapies

  • Behavior Analyst
  • Murray, UT
  • NPI 1790214120
  NPD (past)
• Integrated Autism Therapies

  • Behavior Analyst
  • Murray, UT
  • NPI 1790328359
  NPD (past)

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1306404918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4872 W SERENGETI DR APT 503",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967367",
            "telephone_number": "315-921-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5984 S SUSQUEHANNA",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235527",
            "telephone_number": "801-913-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "NICHELLE",
        "middle_name": "ANN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHELLE",
            "last_name": "TANNER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregg J Stephany, PA-C
• Stephen D Haslam, DDS, PLLC
• Stephen J. Warner MD PC
• Carrie Emily Stephens, PA-C
• Mark D Stephens, DPT
• Brent D Stephenson, M.D.
• Steps Recovery Center
• Stepup Physical Therapy
• Sterling Orthopedic Services
• Scott B Stern, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.