NPI 1104124866 · live from the CMS NPI Registry
Cami Kuipers Anderson
Behavior Analyst in Salt Lake City, UT. National Provider Identifier 1104124866, active.
NPI record
| NPI | 1104124866 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 5965 S 900 E, Salt Lake City, UT 84121 |
| Practice phone | 801-263-7100 |
| Mailing address | 330 N 200 W, Smithfield, UT 84335 |
| Enumerated | March 4, 2011 |
| Last updated | January 11, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 10646537-2506 (UT) |
| Behavior Technician | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.