NPI 1609519107 · live from the CMS NPI Registry
Katelyn Dixon, BCBA
Behavior Analyst in South Ogden, UT. National Provider Identifier 1609519107, active.
NPI record
| NPI | 1609519107 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6033 Fashion Point Dr, South Ogden, UT 84403 |
| Practice phone | 801-549-8821 |
| Mailing address | 1105 W Russell St, Sioux Falls, SD 57104 |
| Enumerated | April 14, 2022 |
| Last updated | February 1, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-211367 (UT) |
| Behavior Analyst primary | 103K00000X | 1-23-69903 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.