Alyssa Chidester

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12976712-2506 Issued in UT

Practice address

6033 Fashion Point Dr
South Ogden, UT 84403-4847

Phone

(801) 549-8821

NPI assigned

Apr 23, 2020

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

State licenses

Practice roles

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.

• 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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1689294217",
    "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": "801-663-4316",
            "fax_number": "801-513-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 FASHION POINT DR",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034847",
            "telephone_number": "801-549-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 E Gordon Ave",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840412341",
            "country_code": "US",
            "telephone_number": "801-663-4316",
            "fax_number": "801-513-5608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1438 N Highway 89 Ste 130",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "UT",
            "postal_code": "840252737",
            "country_code": "US",
            "telephone_number": "801-549-8821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIDESTER",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "12976712-2506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassity Implants & Periodontics PC
• Janet Cazier, CSW
• Kassidy Chatterton
• Robert Cheney, DO
• Summer Morgan Cheney, BC - HIS
• Ariana Chihuahua, RBT
• Emma Christensen
• Garrett Vincent Cimino, LCSW
• Circle of Life Inc
• Clifford D Daines D D S

• Behavior Analyst in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.