Active NPI
Kinley Austad
- Behavior Technician
- Layton, UT
National Provider Identifier
1851029292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2985 North 935 East
Suite 2
Layton, UT 84040-7318 - Phone
- (801) 771-0273
- NPI assigned
- Aug 12, 2022
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
2985 North 935 East
Suite 2
Layton, UT 84040-7318
Mailing address
3990 W 4100 S
West Haven, UT 84401-8815
Phone (801) 543-9019
Other names 1
- Kinley Roberts
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1851029292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3990 W 4100 S",
"city": "WEST HAVEN",
"state": "UT",
"postal_code": "844018815",
"telephone_number": "801-543-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2985 NORTH 935 EAST",
"address_2": "SUITE 2",
"city": "LAYTON",
"state": "UT",
"postal_code": "840407318",
"telephone_number": "801-771-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTAD",
"first_name": "KINLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-12",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KINLEY",
"last_name": "ROBERTS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.