Autism Celebrations, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

AUTISM CELEBRATIONS, LLC

Practice address

240 N East Promontory Ste 200
Farmington, UT 84025-2950

Phone

(801) 635-0337

NPI assigned

Mar 28, 2024

Last updated

Apr 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mirella Petersen, DHA, MISM

Title

Owner / Executive Director

Phone

(801) 635-0337

Specialties & licenses 6

Addresses

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1922859875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 FIELD STONE WAY",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415532",
            "telephone_number": "801-635-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N EAST PROMONTORY STE 200",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252950",
            "telephone_number": "801-635-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM CELEBRATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "MIRELLA",
        "authorized_official_title_or_position": "OWNER / EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-635-0337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHA, MISM"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Arnold Applegate, M.D.
• Dennis Dale Ashton, LCSW - APA
• Aspen Personal Care
• At First Sight Mobile Ultrasound
• Angela J Austin
• Diane Love Bachman, CMHC
• Melody Badali, RN
• Lynn Reinschild Banyai
• Savanna Barela, RBT
• Andrea Barreno, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.