Active NPI
Isabel Camacho White, RBT
- Behavior Technician
- Murray, UT
National Provider Identifier
1366152522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 22-200665
- Practice address
- 404 E 4500 S Ste A34
Murray, UT 84107-2710 - Phone
- (801) 771-0273
- NPI assigned
- Nov 29, 2022
- Last updated
- Nov 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 22-200665 | UT | Primary |
Addresses
Primary practice location
404 E 4500 S Ste A34
Murray, UT 84107-2710
Mailing address
4514 W Daybreak Rim Way
South Jordan, UT 84009-5002
Phone (385) 887-1887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22-200665 | UT | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1366152522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4514 W DAYBREAK RIM WAY",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840095002",
"telephone_number": "385-887-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 E 4500 S STE A34",
"city": "MURRAY",
"state": "UT",
"postal_code": "841072710",
"telephone_number": "801-771-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ISABEL",
"middle_name": "CAMACHO",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-29",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "UT",
"license": "22-200665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.