Alyssa Anne Boren – Behavior Analyst in Orem, UT

Key facts

NPI: 1659095347
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Analyst 103K00000X
Practice address: 1875 S Geneva Rd
Orem, UT 84058-2217
Phone: (801) 437-0490
NPI assigned: Sep 27, 2022
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Utah Autism Academy Developmentally Disabled Services Day Training Agency · Midvale, UT · NPI 1972934537

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Utah Autism Academy		Past since Oct 2, 2022	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Analyst	103K00000X			Yes

Addresses

Primary practice location

1875 S Geneva Rd
Orem, UT 84058-2217

Mailing address

1875 S Geneva Rd
Orem, UT 84058-2217
Phone (801) 437-0490

Other providers in Orem, UT

All providers in Orem, UT · Behavior Analyst in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.