Breanne Clement, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1107392 Issued in UT

Practice address

3006 S Highland Dr Ste 210
Salt Lake City, UT 84106-6004

Phone

(801) 916-6678

Fax

(801) 931-2607

NPI assigned

Jan 11, 2011

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Apex Behavior Consulting LLC

  • Behavior Analyst
  • Salt Lake City, UT
  • NPI 1528369980
  NPD

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1386949055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 E 2100 S STE 116",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152356",
            "telephone_number": "801-916-6678",
            "fax_number": "801-505-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 S HIGHLAND DR STE 210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841066004",
            "telephone_number": "801-916-6678",
            "fax_number": "801-931-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "BREANNE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-11",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "1107392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Clegg
• Killian Jay Clegg
• Peter G. Clegg
• Richard R Clegg, DDS
• Leetice C Clemans
• Kellie Clement, LCSW
• Rachelle Clements
• Scott Andrew Clements, M.D.
• Steven Christopher Clements, CSW
• Walker Clements

• 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 Oct 19, 2020; 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.