Individual provider Active NPI

Lydia Kristin Leavitt

  • Behavior Technician
  • St George, UT
National Provider Identifier
1730944034
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-329264 Issued in UT
Practice address
348 E 600 S
Saint George, UT 84770-3949
Phone
(435) 705-7574
NPI assigned
Feb 15, 2024
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
RBT-24-329264UTMDBehavior 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.

Verify at the official NPI Registry.