Active NPI
McKenna Marie Douglas
- Behavior Analyst
- South Ogden, UT
National Provider Identifier
1932766615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 6033 Fashion Point Dr Ste 100
South Ogden, UT 84403-4848 - Phone
- (605) 271-2690
- NPI assigned
- May 28, 2019
- Last updated
- Apr 21, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary | |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
6033 Fashion Point Dr Ste 100
South Ogden, UT 84403-4848
Mailing address
1105 W Russell St
Sioux Falls, SD 57104-1322
Phone (605) 271-2690
Other practice location 1
1438 N Highway 89 Ste 130
Farmington, UT 84025-2737
Phone (605) 271-2690
Other practice location 2
2940 N Church St Ste 204
Layton, UT 84040-6616
Phone (801) 940-5259
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expanding Minds ABA LLC | Behavior Analyst | Current | Accepting new patients |
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.
-
- Behavior Analyst
- Roy, UT
- NPI 1093656894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1932766615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 W RUSSELL ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571041322",
"telephone_number": "605-271-2690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6033 FASHION POINT DR STE 100",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844034848",
"telephone_number": "605-271-2690"
}
],
"practiceLocations": [
{
"address_1": "1438 N Highway 89 Ste 130",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "UT",
"postal_code": "840252737",
"country_code": "US",
"telephone_number": "605-271-2690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2940 N Church St Ste 204",
"address_purpose": "LOCATION",
"city": "Layton",
"state": "UT",
"postal_code": "840406616",
"country_code": "US",
"telephone_number": "801-940-5259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUGLAS",
"first_name": "MCKENNA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.