Lillian Bob Adolphson, BCBA-D

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-11-8304

Practice address

1789 E Logan Ave
Salt Lake City, UT 84108-2629

Phone

(801) 550-3546

NPI assigned

Apr 30, 2012

Last updated

Sep 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Dr. Sarah Lillian Adolphson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Joyful Journeys Therapy LLC

  dba Orca ABA

  • Behavior Analyst
  • Salt Lake City, UT
  • NPI 1699584607
  NPD Authorized official

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1932467776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 E LOGAN AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082629",
            "telephone_number": "801-550-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 E LOGAN AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082629",
            "telephone_number": "801-550-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADOLPHSON",
        "first_name": "LILLIAN",
        "middle_name": "BOB",
        "credential": "BCBA-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "800311-2506",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "311800-3503",
            "primary": false
        },
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "UT",
            "license": "2022037088",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-11-8304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "ADOLPHSON",
            "middle_name": "LILLIAN",
            "prefix": "DR.",
            "credential": "BCBA-D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teresa Marie Adkins
• Audrey Violet Adler, MD
• Lezlie Joan Adler, OTRL
• Adolescent, Child and Family Therapy Clinic, Inc
• Laura N Adolfson
• Drew Adriaens
• Cara Adrian, LCSW
• Adult Care Clinic Inc
• Advanced Autism Services Ut LLC
• Advanced Behavior Analysis

• Behavior Analyst in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.