NPI 1497223580 · live from the CMS NPI Registry
Alli Mckenzie Bradshaw
Behavior Analyst in Taylorsville, UT. National Provider Identifier 1497223580, active.
NPI record
| NPI | 1497223580 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6013 S Redwood Rd, Taylorsville, UT 84123 |
| Practice phone | 801-255-5131 |
| Enumerated | November 6, 2018 |
| Last updated | August 21, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 12129860-2506 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.