Individual provider Active NPI

Josiah Whitworth, BCBA

  • Behavior Analyst
  • Omaha, NE
National Provider Identifier
1558859140
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
8644191-2506 Issued in UT
Practice address
11906 Arbor St
Omaha, NE 68144-2900
Phone
(314) 834-8010
NPI assigned
Apr 29, 2018
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 8644191-2506 UT Primary
Assistant Behavior Analyst 106E00000X 8644191-2507 UT
Behavior Technician 106S00000X RBT-18-53305 UT

Addresses

Primary practice location

11906 Arbor St
Omaha, NE 68144-2900

Mailing address

8300 Jefferson St NE Ste B
Albuquerque, NM 87113-1734
Phone (314) 834-8010

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

State licenses

LicenseStateTypeSpecialty
8644191-2506UTMDBehavioral Analyst
8644191-2507UTMDAssistant Behavior Analyst
RBT-18-53305UTMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Learning Collaborative LLC Behavior Analyst CurrentSince Jan 12, 2025 Accepting new patients
Breaking Barriers Therapy Services LLC Behavior Analyst PastSince Feb 1, 2022 Accepting new patients

Locations

11906 Arbor St
Omaha, NE 68144
Phone (314) 834-8010

8300 Jefferson St NE
Ste B
Albuquerque, NM 87113
Phone (505) 225-5323

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1558859140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 JEFFERSON ST NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131734",
            "telephone_number": "314-834-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11906 ARBOR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442900",
            "telephone_number": "314-834-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITWORTH",
        "first_name": "JOSIAH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-29",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "8644191-2506",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "UT",
            "license": "8644191-2507",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "UT",
            "license": "RBT-18-53305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.