NPIMap

Organization Active NPI

Utah State University

Doing business as Sorenson Center Behavior Support Services

  • Behavior Analyst
  • Logan, UT
National Provider Identifier
1629619010
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
UTAH STATE UNIVERSITY
Doing business as
Sorenson Center Behavior Support Services
Practice address
6405 Old Main Hill
Logan, UT 84322-0001
Phone
(435) 797-0576
Fax
(844) 308-5865
NPI assigned
Oct 7, 2019
Last updated
Oct 7, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
UTAH STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Kathryn Clements
Title
Controller
Phone
(435) 797-5830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

6405 Old Main Hill
Logan, UT 84322-0001

Mailing address

6405 Old Main Hill
Logan, UT 84322-0001
Phone (435) 797-0576

Other names 1

  • Sorenson Center Behavior Support Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL LOGAN Other

National Provider Directory

National Provider Directory
Tax ID family
Usu Student Health Wellness12 organizations share this tax ID, including this one
Part of
Usu Student Health Wellness

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1629619010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 OLD MAIN HILL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843220001",
            "telephone_number": "435-797-0576",
            "fax_number": "844-308-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 OLD MAIN HILL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843220001",
            "telephone_number": "435-797-0576",
            "fax_number": "844-308-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UTAH STATE UNIVERSITY",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "435-797-5830"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LOGAN",
            "affiliation": "N",
            "endpointDescription": "place of service",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "LOGAN",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LOGAN",
            "address_1": "6405 Old Main Hill",
            "city": "Logan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "843220001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sorenson Center Behavior Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.