NPI 1225725096 · live from the CMS NPI Registry
Jennifer Reese, BCBA
Behavior Analyst in South Ogden, UT. National Provider Identifier 1225725096, active.
NPI record
| NPI | 1225725096 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6033 Fashion Point Dr, South Ogden, UT 84403 |
| Practice phone | 605-271-2690 |
| Mailing address | 1105 W Russell St, Sioux Falls, SD 57104 |
| Enumerated | April 20, 2023 |
| Last updated | August 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-269779 (UT) |
| Behavior Analyst primary | 103K00000X | 4849758-2506 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.