Organization Active NPI

Autism Assement Treatment Program Adult

  • Behavior Analyst
  • Salt Lake City, UT
National Provider Identifier
1801283833
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
BEHAVIORAL HEALTH CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2015

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.