Organization Active NPI

Spectrum Behavioral Therapy Inc

  • Behavior Analyst
  • Vernal, UT
National Provider Identifier
1457170359
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SPECTRUM BEHAVIORAL THERAPY INC
Practice address
280 W 100 N
Vernal, UT 84078-2042
Phone
(435) 621-6863
NPI assigned
Oct 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Shawna McCarley, BCBANPI 1063179273
Title
Behavior Analyst/Ceo
Phone
(435) 621-6863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

280 W 100 N
Vernal, UT 84078-2042

Mailing address

193 N 300 W
Vernal, UT 84078-2029
Phone (435) 621-6863

National Provider Directory

National Provider Directory

Locations

280 W 100 N
Vernal, UT 84078
Phone (435) 621-6863

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1457170359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 N 300 W",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782029",
            "telephone_number": "435-621-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 W 100 N",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782042",
            "telephone_number": "435-621-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM BEHAVIORAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "MCCARLEY",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST/CEO",
        "authorized_official_telephone_number": "435-621-6863",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.