Rae Victor

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

24 W Sergeant Court Dr Ste 204
Saratoga Springs, UT 84045-5809

Phone

(801) 987-6333

NPI assigned

Mar 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Breaking Barriers Therapy Services LLC

  • Speech-Language Pathologist
  • Saratoga Springs, UT
  • NPI 1891201794

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1467100768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 S WEST TEMPLE",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841154408",
            "telephone_number": "801-722-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W SERGEANT COURT DR STE 204",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455809",
            "telephone_number": "801-987-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Rethink",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "24 W Sergeant Court Dr Ste 204",
            "city": "Saratoga Springs",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840455809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Utah Valley Pediatrics L.L.C.
• Utah Vision, LLC
• Karly Van Drese
• Natalia R Vance
• Jasmin Vanderpool
• Miguel A Villalobos, MD
• Veronica Villarreal
• Allison Voyles
• Walgreen Co
• Alexa Heather Walker

• Behavior Technician in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Behavior Technician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.