Active NPI
Lydia Kristin Leavitt
- Behavior Technician
- St George, UT
National Provider Identifier
1730944034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-329264
- Practice address
- 348 E 600 S
Saint George, UT 84770-3949 - Phone
- (435) 705-7574
- NPI assigned
- Feb 15, 2024
- Last updated
- Jan 27, 2026
- Sex
- Female
- 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 | RBT-24-329264 | UT | Primary |
Addresses
Primary practice location
348 E 600 S
Saint George, UT 84770-3949
Mailing address
980 Liahona CT
Mesquite, NV 89027-2513
Phone (702) 815-5182
Other practice location 1
595 S Bluff St
St George, UT 84770-3583
Phone (702) 901-5200
Other names 1
- Lydia Kristin Wakefield
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-329264 | UT | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1730944034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 LIAHONA CT",
"city": "MESQUITE",
"state": "NV",
"postal_code": "890272513",
"telephone_number": "702-815-5182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 E 600 S",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847703949",
"telephone_number": "435-705-7574"
}
],
"practiceLocations": [
{
"address_1": "595 S Bluff St",
"address_purpose": "LOCATION",
"city": "St George",
"state": "UT",
"postal_code": "847703583",
"country_code": "US",
"telephone_number": "702-901-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEAVITT",
"first_name": "LYDIA",
"middle_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-15",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "UT",
"license": "RBT-24-329264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYDIA",
"last_name": "WAKEFIELD",
"middle_name": "KRISTIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.