Active NPI
Evan Stefanidis
- Behavior Technician
- West Jordan, UT
National Provider Identifier
1396625281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 986 W 9000 S Ste 200
West Jordan, UT 84088-5729 - Phone
- (385) 354-5250
- NPI assigned
- Sep 3, 2025
- Last updated
- Sep 3, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
986 W 9000 S Ste 200
West Jordan, UT 84088-5729
Mailing address
1339 S 1960 W
Lehi, UT 84043-7536
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1396625281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1339 S 1960 W",
"city": "LEHI",
"state": "UT",
"postal_code": "840437536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "986 W 9000 S STE 200",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885729",
"telephone_number": "385-354-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFANIDIS",
"first_name": "EVAN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-09-03",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.