NPIMap

Organization Active NPI

Advanced Behavior Analysis

  • In Home Supportive Care Agency
  • Salt Lake City, UT
National Provider Identifier
1962951541
Registry record updated Sep 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ADVANCED BEHAVIOR ANALYSIS
Practice address
3605 S 2210 E
Salt Lake City, UT 84109-4314
Phone
(801) 633-8377
NPI assigned
Sep 24, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Brittany Coyle, BCBA, MD
Title
Owner and Ceo
Phone
(435) 962-3661

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Advanced Behavior Analysis (3 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3605 S 2210 E
Salt Lake City, UT 84109-4314

Mailing address

3605 S 2210 E
Salt Lake City, UT 84109-4314
Phone (801) 633-8377

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2016.

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474675200000",
    "number": "1962951541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 S 2210 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841094314",
            "telephone_number": "801-633-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 S 2210 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841094314",
            "telephone_number": "801-633-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIOR ANALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-24",
        "last_updated": "2016-09-24",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "435-962-3661",
        "authorized_official_credential": "BCBA, MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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 Sep 24, 2016; 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.