Mebe Utah, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MEBE UTAH, LLC

Practice address

3556 S 5600 W
Salt Lake City, UT 84120-2815

Phone

(619) 795-9925

NPI assigned

Feb 11, 2021

Organization subpart

No

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

Authorized official

Name

Esteban Gonzalez

Title

Contracts and Credentialing Special

Phone

(619) 323-0832

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1427641364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 340",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081669",
            "telephone_number": "619-795-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 S 5600 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841202815",
            "telephone_number": "619-795-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEBE UTAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ESTEBAN",
        "authorized_official_title_or_position": "CONTRACTS AND CREDENTIALING SPECIAL",
        "authorized_official_telephone_number": "619-323-0832"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meander Counseling
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• Michelle Lyn Mears, DNP
• Scott L Mears
• Tyler James Mears, OTR
• Brecklyn Mecham
• Cherianne Mecham
• Cody Clayton Mecham, D.C.
• Emily Mecham, LCSW
• Erin Mecham

• 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 Feb 11, 2021; 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.