Active NPI
Bedrock Behavior Change LLC
- Behavior Analyst
- Moab, UT
National Provider Identifier
1508770330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BEDROCK BEHAVIOR CHANGE LLC
- Practice address
- 3686 Spanish Valley Dr Unit E3
Moab, UT 84532-3644 - Phone
- (845) 325-7593
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lindsay Nicole Trudeau, M.ED BCBA
- Title
- Owner
- Phone
- (845) 325-7593
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
3686 Spanish Valley Dr Unit E3
Moab, UT 84532-3644
Mailing address
3686 Spanish Valley Dr Unit E3
Moab, UT 84532-3644
Phone (845) 325-7593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1508770330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3686 SPANISH VALLEY DR UNIT E3",
"city": "MOAB",
"state": "UT",
"postal_code": "845323644",
"telephone_number": "845-325-7593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3686 SPANISH VALLEY DR UNIT E3",
"city": "MOAB",
"state": "UT",
"postal_code": "845323644",
"telephone_number": "845-325-7593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEDROCK BEHAVIOR CHANGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "TRUDEAU",
"authorized_official_first_name": "LINDSAY",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-325-7593",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.ED BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.