Individual provider Active NPI

Lauren Forbush, BEHAVIOR ANALYST

  • Behavior Analyst
  • Salt Lake City, UT
National Provider Identifier
1891235677
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11236006-2506 Issued in UT
Practice address
3006 S Highland Dr Ste 210
Salt Lake City, UT 84106-6004
Phone
(801) 300-5548
NPI assigned
Feb 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X UT
Behavior Analyst 103K00000X 11236006-2506 UT Primary

Addresses

Primary practice location

3006 S Highland Dr Ste 210
Salt Lake City, UT 84106-6004

Mailing address

3006 S Highland Dr Ste 210
Salt Lake City, UT 84106-6004
Phone (801) 300-5548

Other practice location 1

448 E Winchester St
Suite 200 Commerce Park Building #4
Murray, UT 84107-7591
Phone (801) 280-0413

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

LicenseStateTypeSpecialty
11236006-2506UTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Behavior Consulting LLC Behavior Analyst CurrentSince Oct 25, 2020 Accepting new patients

Locations

3006 S Highland Dr
Ste 210
Millcreek, UT 84106
Phone (801) 647-3920

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1891235677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 S HIGHLAND DR STE 210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841066004",
            "telephone_number": "801-300-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 S HIGHLAND DR STE 210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841066004",
            "telephone_number": "801-300-5548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "448 E Winchester St",
            "address_2": "Suite 200 Commerce Park Building #4",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841077591",
            "country_code": "US",
            "telephone_number": "801-280-0413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORBUSH",
        "first_name": "LAUREN",
        "credential": "BEHAVIOR ANALYST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "11236006-2506",
            "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 Oct 22, 2020; 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.