NPI 1609290154 · live from the CMS NPI Registry
Lacey Anderson, BCBA
Behavior Analyst in South Jordan, UT. National Provider Identifier 1609290154, active.
NPI record
| NPI | 1609290154 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4058 W Shady Plum Way, South Jordan, UT 84095 |
| Practice phone | 801-735-3252 |
| Enumerated | February 4, 2014 |
| Last updated | February 4, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 11312885 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.