Individual provider Active NPI

Cortney Jade Cargeeg

  • Behavior Analyst
  • Layton, UT
National Provider Identifier
1912405259
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-49623 Issued in UT
Practice address
209 E Gordon Ave
Layton, UT 84041-2341
Phone
(801) 200-1574
NPI assigned
Jan 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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
Behavior Analyst 103K00000X 1-21-49623 UT Primary

Addresses

Primary practice location

209 E Gordon Ave
Layton, UT 84041-2341

Mailing address

209 E Gordon Ave
Layton, UT 84041-2341
Phone (012) 001-5748

Other practice location 1

4431 Cleveland Ave Apt 1
San Diego, CA 92116-3918
Phone (801) 898-7560

Other practice location 2

625 Pennsylvania Ave
San Diego, CA 92103-4321
Phone (858) 603-4812

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": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1912405259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E GORDON AVE",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412341",
            "telephone_number": "012-001-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E GORDON AVE",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412341",
            "telephone_number": "801-200-1574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4431 Cleveland Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921163918",
            "country_code": "US",
            "telephone_number": "801-898-7560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921034321",
            "country_code": "US",
            "telephone_number": "858-603-4812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARGEEG",
        "first_name": "CORTNEY",
        "middle_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "1-21-49623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 12, 2021; 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.