McKenzie Niebergall, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-23-14822 Issued in UT

Practice address

881 W Baxter Dr Ste 100
South Jordan, UT 84095-8506

Phone

(877) 565-7169

Fax

(703) 348-3267

NPI assigned

Feb 20, 2024

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

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1356106124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 E 600 N APT 11",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213555",
            "telephone_number": "801-865-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 W BAXTER DR STE 100",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958506",
            "telephone_number": "877-565-7169",
            "fax_number": "703-348-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEBERGALL",
        "first_name": "MCKENZIE",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "UT",
            "license": "0-23-14822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty June Newman, CMHC
• Madison Porter Newton, PA-C
• Nadine Nicholas
• Hope Elizabeth Nichols, ACMHC
• Simon Daniel Nicolia, CSWI
• Austin Jay Nielsen, DPT
• Casee Nielsen
• Lanesha Nielsen
• Ryan S Nielsen, APC
• Shelly L Nielsen, OD

• Assistant Behavior Analyst in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Assistant Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.