Christopher A Stapleton, BFA

Individual provider Active NPI Behavior Technician · Moroni, UT

NPI 1548066913 · NPPES record last updated Feb 24, 2025

Key facts

NPI
1548066913
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
33 N 100 E Apt B7
Moroni, UT 84646-7659
Phone
(801) 400-0513
NPI assigned
Feb 24, 2025
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Fine Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Emanate Light Nonprofit Current
since Sep 14, 2025
Accepting new patients
Cold White Fire L3C Current
since Mar 11, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

33 N 100 E Apt B7
Moroni, UT 84646-7659

Mailing address

33 N 100 E Apt B7
Moroni, UT 84646-7659
Phone (801) 400-0513

Other providers in Moroni, UT

All providers in Moroni, UT · Behavior Technician in Utah

Sources for this page

Verify at the official NPI Registry.