Organization Active NPI

Agape ABA

  • Behavior Analyst
  • American Fork, UT
National Provider Identifier
1699420174
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AGAPE ABA
Practice address
868 West 200 South Street
B107
American Fork, UT 84003-8400
Phone
(385) 230-1684
NPI assigned
Feb 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Olivia Myers, M.A.NPI 1336678721
Title
Owner, Ceo
Phone
(385) 230-1684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

868 West 200 South Street
B107
American Fork, UT 84003-8400

Mailing address

868 West 200 South Street
B107
American Fork, UT 84003-8567
Phone (385) 230-1684

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1699420174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 WEST 200 SOUTH STREET",
            "address_2": "B107",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840038567",
            "telephone_number": "385-230-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 WEST 200 SOUTH STREET",
            "address_2": "B107",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840038400",
            "telephone_number": "385-230-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "385-230-1684",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.