Michelle Culley

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-72676 Issued in UT

Practice address

240 Morris Ave Ste 100
Salt Lake City, UT 84115-3278

Phone

(801) 935-4171

NPI assigned

Nov 24, 2020

Last updated

May 7, 2024By 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 2

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": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1336743822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MORRIS AVE STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841153278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MORRIS AVE STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841153278",
            "telephone_number": "801-935-4171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 E Fort Union Blvd",
            "address_purpose": "LOCATION",
            "city": "Cottonwood Heights",
            "state": "UT",
            "postal_code": "841212847",
            "country_code": "US",
            "telephone_number": "385-695-2203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLEY",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "1-24-72676",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "UT",
            "license": "RBT-20-141925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ambrose Jericho Cuison
• Joe Culbertson Jr.
• Michelle Culbertson, MD
• Susan Spiller Culbertson, L.C.S.W.
• Jennison Cull
• Braxton Tate Cullum
• Danniel Worthen Cullumber, LCSW
• Zachary Jerome Culp, MD
• Alberto Cumba
• Tierra Bree Cumba

• Behavior Analyst in Salt Lake City, UT
• Providers in Salt Lake City, 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 7, 2024; 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.