Shasta Western

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

110211632506 Issued in UT

Practice address

2940 N Church St Ste 303
Layton, UT 84040-6617

Phone

(801) 935-4171

NPI assigned

May 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shasta Tyteca Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1801386446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5528 S 7500 W",
            "city": "HOOPER",
            "state": "UT",
            "postal_code": "843159746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N CHURCH ST STE 303",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840406617",
            "telephone_number": "801-935-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERN",
        "first_name": "SHASTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "110211632506",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHASTA",
            "last_name": "TYTECA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Deven West, LCSW
• Misty West
• Alex Westergard
• Allysa B Westergard
• Ryan Westergard
• Ava M Wharton
• Abigail Wheeler
• Kimberly Wheelwright
• Jessica Whetman
• Whiplash Clinic, LLC

• Behavior Analyst in Layton, UT
• Providers in Layton, UT by specialty
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.