RJR Consultants LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

10194661-2506 Issued in UT

Legal business name

RJR CONSULTANTS LLC

Practice address

169 E Edith Ave
Salt Lake City, UT 84111-4502

Phone

(510) 305-9391

NPI assigned

Dec 23, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard Jose Robles, BCBA, LBANPI 1104361310

Title

Licensed Behavior Analyst, Bcba

Phone

(510) 305-9391

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Jose Robles, BCBA, LBA

  • Behavior Analyst
  • Tooele, UT
  • NPI 1104361310
  NPD (past) Authorized official

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1396280509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 E EDITH AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841114502",
            "telephone_number": "510-305-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 E EDITH AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841114502",
            "telephone_number": "510-305-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJR CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-23",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "LICENSED BEHAVIOR ANALYST, BCBA",
        "authorized_official_telephone_number": "510-305-9391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "10194661-2506",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "UT",
            "license": "10194661-2506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Early Intervention Provider Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.