Jessica Marie Heelis
Individual provider Active NPI Behavior Analyst · Salem, UT
NPI 1417640905 · NPPES record last updated Oct 9, 2025
Key facts
- NPI
- 1417640905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 14247224-2506 (UT)
- Practice address
- 150 E 400 N Ste 100
Salem, UT 84653-9365 - Phone
- (801) 696-9779
- Fax
- (385) 999-6822
- NPI assigned
- May 31, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14247224-2506 | UT | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandstone Autism Services | Behavior Analyst | Past |
Accepting new patients |
| Breaking Barriers Therapy Services LLC | Behavior Analyst | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 14247224-2506 | UT | Yes |
Addresses
Primary practice location
150 E 400 N Ste 100
Salem, UT 84653-9365
Mailing address
1182 S 730 W # NA
Payson, UT 84651-3108
Phone (801) 602-9049
Other providers in Salem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.