Active NPI
Wyatt Walton
- Behavior Analyst
- Layton, UT
National Provider Identifier
1477154797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-71382
- Practice address
- 2940 N Church St Ste 303
Layton, UT 84040-6617 - Phone
- (801) 935-4171
- NPI assigned
- Nov 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 1-24-71382 | UT | Primary |
Addresses
Primary practice location
2940 N Church St Ste 303
Layton, UT 84040-6617
Mailing address
2637 N Washington Blvd # 380
North Ogden, UT 84414-2240
Phone (714) 393-1475
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": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1477154797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2637 N WASHINGTON BLVD # 380",
"city": "NORTH OGDEN",
"state": "UT",
"postal_code": "844142240",
"telephone_number": "714-393-1475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 N CHURCH ST STE 303",
"city": "LAYTON",
"state": "UT",
"postal_code": "840406617",
"telephone_number": "801-935-4171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "WYATT",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-03",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "UT",
"license": "1-24-71382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.