Anna Leishman – Behavior Technician

Key facts

NPI: 1508302191
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Technician 106S00000X
License: RBT-16-21935 (UT)
Practice address: 5160 Sunset LN
South Ogden, UT 84403-4230
Phone: (801) 935-5796
NPI assigned: Jan 6, 2017
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Applied Behavior Connections LLC Community/Behavioral Health Agency · South Ogden, UT · NPI 1184019457

NPD (past)

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
RBT-16-21935	UT	MD	Behavior Technician

Practice roles

Organization	Specialty	Status	New patients
Applied Behavior Connections LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Technician	106S00000X	RBT-16-21935	UT	Yes

Addresses

Primary practice location

5160 Sunset LN
South Ogden, UT 84403-4230

Mailing address

5160 Sunset LN
South Ogden, UT 84403-4230
Phone (801) 935-5796

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 6, 2017.

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1508302191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 SUNSET LN",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034230",
            "telephone_number": "801-935-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 SUNSET LN",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034230",
            "telephone_number": "801-935-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISHMAN",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "UT",
            "license": "RBT-16-21935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

All providers in South Ogden, UT · Behavior Technician in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2017. 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.

Verify at the official NPI Registry.