Nikola McKenzie

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-50814 Issued in UT

Practice address

209 E Gordon Ave
Layton, UT 84041-2341

Phone

(801) 549-2281

Fax

(801) 513-5608

NPI assigned

Aug 31, 2020

Last updated

Sep 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Catalyst Behavior Solutions

  • Community/Behavioral Health Agency
  • Layton, UT
  • NPI 1639571755

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1619581485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E GORDON AVE",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412341",
            "telephone_number": "801-549-8821",
            "fax_number": "801-513-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E GORDON AVE",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412341",
            "telephone_number": "801-549-2281",
            "fax_number": "801-513-5608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1438 N Highway 89 Ste 130",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "UT",
            "postal_code": "840252737",
            "country_code": "US",
            "telephone_number": "801-200-1574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "NIKOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "1-21-50814",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick McGuire
• Harley McInis
• David F McKay, LCSW
• Holly Marie McKay
• Dillon McKeegan
• Charisma Lashaune McKinney
• Janel McKinney, LMT
• Abigail McLean
• David Glen McMillan, D.D.S.
• Glen L McMillan, DDS

• Behavior Analyst in Layton, UT
• Providers in Layton, UT by specialty
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.