Active NPI
Ace Derick Espinosa
- Behavior Technician
- Salt Lake City, UT
National Provider Identifier
1669184529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 455 S 700 E Unit 4321
Salt Lake City, UT 84102-3886 - Phone
- (862) 505-9651
- NPI assigned
- Dec 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
455 S 700 E Unit 4321
Salt Lake City, UT 84102-3886
Mailing address
455 S 700 E Unit 4321
Salt Lake City, UT 84102-3886
Phone (862) 505-9651
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1669184529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S 700 E UNIT 4321",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841023886",
"telephone_number": "862-505-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S 700 E UNIT 4321",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841023886",
"telephone_number": "862-505-9651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPINOSA",
"first_name": "ACE",
"middle_name": "DERICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-21",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.