NPI 1114838091 · live from the CMS NPI Registry
Kathlene Diane Black, BCBA
Behavior Analyst in Salem, UT. National Provider Identifier 1114838091, active.
NPI record
| NPI | 1114838091 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 150 E 400 N Ste 100, Salem, UT 84653 |
| Practice phone | 801-696-9779 |
| Enumerated | September 17, 2026 |
| Last updated | September 17, 2026 |
| Sole proprietor | No |
| Other names | Kadi Black |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.