Alexa Archibald, MS, BCBA, LBA
Individual provider Active NPI Behavior Analyst · Draper, UT
NPI 1972085132 · NPPES record last updated Jan 10, 2022
Key facts
- NPI
- 1972085132
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-22-57443 (UT)
- Practice address
- 12222 S 1000 E
Draper, UT 84020-8278 - Phone
- (435) 754-9003
- NPI assigned
- Sep 5, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 1-22-57443 | UT | Yes |
Addresses
Primary practice location
12222 S 1000 E
Draper, UT 84020-8278
Mailing address
1795 S Laurelhurst Dr
Salt Lake City, UT 84108-3309
Phone (435) 754-9003
Other practice location 1
90 N 2000 E
St George, UT 84790-1400
Phone (435) 754-9003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12644849-2506 | Medicaid | UT |
Other names
- Alexa Hinkson
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.