NPI 1518597293 · live from the CMS NPI Registry
Jordyn Bennett
Behavior Analyst in Draper, UT. National Provider Identifier 1518597293, active.
NPI record
| NPI | 1518597293 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 12222 S 1000 E Ste 3, Draper, UT 84020 |
| Practice phone | 801-987-3592 |
| Enumerated | January 22, 2020 |
| Last updated | May 30, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.