Active NPI
Jennifer Marie Fletcher, PHD, BCBA, LBA
- Behavior Analyst
- Lindon, UT
National Provider Identifier
1366181182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11643066-2506
- Practice address
- 350 N State St
Lindon, UT 84042-1830 - Phone
- (801) 610-8200
- NPI assigned
- May 31, 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 Analyst | 103K00000X | 11643066-2506 | UT | Primary |
Addresses
Primary practice location
350 N State St
Lindon, UT 84042-1830
Mailing address
99 S 2930 E
Spanish Fork, UT 84660-6223
Phone (801) 369-1976
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11643066-2506 | UT | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1366181182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 S 2930 E",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846606223",
"telephone_number": "801-369-1976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 N STATE ST",
"city": "LINDON",
"state": "UT",
"postal_code": "840421830",
"telephone_number": "801-610-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PHD, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "UT",
"license": "11643066-2506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lindon, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.