NPI 1235425265 · live from the CMS NPI Registry
Justine Marie Ballard, BCaBA
Behavior Analyst in West Jordan, UT. National Provider Identifier 1235425265, active.
NPI record
| NPI | 1235425265 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 7053 S 2310 W, West Jordan, UT 84084 |
| Practice phone | 801-255-5131 |
| Mailing address | 1051 E 560 N, Provo, UT 84606 |
| Enumerated | June 28, 2011 |
| Last updated | February 13, 2012 |
| Sole proprietor | No |
| Other names | Justine Smith |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 0-11-4131 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.