Active NPI
Elizabeth Oduntan
- Behavior Technician
- Salt Lake City, UT
National Provider Identifier
1871383489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-401542
- Practice address
- 6910 S Highland Dr Ste 1
Salt Lake City, UT 84121-3061 - Phone
- (801) 410-3436
- NPI assigned
- May 7, 2025
- 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 | RBT-24-401542 | UT | Primary |
Addresses
Primary practice location
6910 S Highland Dr Ste 1
Salt Lake City, UT 84121-3061
Mailing address
2760 S Centerbrook Dr
West Valley City, UT 84119-1678
Phone (801) 410-3436
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 |
|---|---|---|---|
| RBT-24-401542 | UT | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1871383489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 S CENTERBROOK DR",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841191678",
"telephone_number": "801-410-3436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6910 S HIGHLAND DR STE 1",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841213061",
"telephone_number": "801-410-3436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODUNTAN",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-07",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "UT",
"license": "RBT-24-401542",
"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 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.