Mackenzie Grant

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1875 S Geneva Rd
Orem, UT 84058-2217

Phone

(801) 437-0490

NPI assigned

Jun 8, 2020

Last updated

Mar 28, 2022By 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 1

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.

• Utah Autism Academy

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  • NPI 1972934537
  NPD (past)

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1679198428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 S HIGHLAND DR STE 1",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 S GENEVA RD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840582217",
            "telephone_number": "801-437-0490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 S 700 E Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841022855",
            "country_code": "US",
            "telephone_number": "801-935-4171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6910 S Highland Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Cottonwood Heights",
            "state": "UT",
            "postal_code": "841213061",
            "country_code": "US",
            "telephone_number": "801-935-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian G Graf, DMD
• Raelynne Graham
• Grandpas Dental Center LLC
• Nicole Grange
• Heath Dean Granley, PHD
• Meagan Grasley
• Pamela Grass
• Jerry G Graves, F.N.P.
• Kelley Graves
• Nathan Graves, D.M.D.

• Behavior Technician in Orem, UT
• Providers in Orem, UT by specialty
• Behavior Technician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.