Jessie Rosdahl, MS, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-25435 Issued in UT

Practice address

7434 S State St
Midvale, UT 84047-2014

Phone

(801) 456-9955

NPI assigned

Dec 7, 2016

Last updated

Jun 7, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Autism & Behavioral Intervention, LLC

  • Behavior Analyst
  • Draper, UT
  • NPI 1144610502
  NPD (past)

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1356885552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 S 300 E APT 11",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071606",
            "telephone_number": "801-822-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7434 S STATE ST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472014",
            "telephone_number": "801-456-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSDAHL",
        "first_name": "JESSIE",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "1-17-25435",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl R Rohbock, LCSW
• Melisa Romero-Lopez, ACMHC
• Laurel Romney
• Natalie Romrell, L.C.S.W.
• Betty Roos
• Hillary Rose, CMHC
• Kathryn Anne Rose, MSW-I
• Josh Gordon Roundy
• Haley Rowe
• Deborah Deann Rowley, DVM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.