Jacob Kastleman, BA, RBT
Individual provider Active NPI Behavior Analyst · Orem, UT
NPI 1992215727 · NPPES record last updated Oct 6, 2017
Key facts
- NPI
- 1992215727
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1111 S 1350 W
Orem, UT 84058-3817 - Phone
- (801) 935-4171
- NPI assigned
- Oct 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternative Behavior Strategies | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
1111 S 1350 W
Orem, UT 84058-3817
Mailing address
415 N 300 W Apt 7
Provo, UT 84601-6733
Phone (801) 615-3055
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2017. 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.