Active NPI
Marcella Jespersen
- Behavior Analyst
- Orem, UT
National Provider Identifier
1750833133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 101261582506
- Practice address
- 475 W 260 N
Orem, UT 84057-1970 - Phone
- (801) 221-9930
- NPI assigned
- Nov 1, 2016
- 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 Analyst | 103K00000X | 101261582506 | UT | Primary |
Addresses
Primary practice location
475 W 260 N
Orem, UT 84057-1970
Mailing address
15 E 300 S
Lehi, UT 84043-2130
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 |
|---|---|---|---|
| 101261582506 | UT | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids on the Move, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Developmentally Disabled Services Day Training Agency
- Orem, UT
- NPI 1396085718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1750833133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 E 300 S",
"city": "LEHI",
"state": "UT",
"postal_code": "840432130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 W 260 N",
"city": "OREM",
"state": "UT",
"postal_code": "840571970",
"telephone_number": "801-221-9930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESPERSEN",
"first_name": "MARCELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-01",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "UT",
"license": "101261582506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.