Active NPI
Autism Assement Treatment Program Adult
- Behavior Analyst
- Salt Lake City, UT
National Provider Identifier
1801283833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- AUTISM ASSEMENT TREATMENT PROGRAM ADULT
- Practice address
- 650 S Komas
Suite 200
Salt Lake City, UT 84108 - Phone
- (801) 581-8110
- NPI assigned
- Apr 16, 2015
- Last updated
- May 1, 2015
- Organization subpart
- Yes
- Parent organization
- BEHAVIORAL HEALTH CLINICS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kim Treadway
- Title
- Billing Specialist
- Phone
- (801) 581-8110
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Social Worker | 1041C0700X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
650 S Komas
Suite 200
Salt Lake City, UT 84108
Mailing address
650 S Komas
Suite 200
Salt Lake City, UT 84108
National Provider Directory
National Provider Directory- Part of
- Autism Assement Treatment Program Adult
Locations
650 S Komas Dr
Ste 200
Slc, UT 84108
Phone (801) 581-5515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430438400000",
"number": "1801283833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 S KOMAS",
"address_2": "SUITE 200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 S KOMAS",
"address_2": "SUITE 200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84108",
"telephone_number": "801-581-8110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTISM ASSEMENT TREATMENT PROGRAM ADULT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BEHAVIORAL HEALTH CLINICS",
"enumeration_date": "2015-04-16",
"last_updated": "2015-05-01",
"status": "A",
"authorized_official_last_name": "TREADWAY",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "BILLING SPECIALIST",
"authorized_official_telephone_number": "801-581-8110",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.