NPI 1710665740 · live from the CMS NPI Registry
Brysen Bodily
Behavior Analyst in Layton, UT. National Provider Identifier 1710665740, active.
NPI record
| NPI | 1710665740 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2940 N Church St Ste 204, Layton, UT 84040 |
| Practice phone | 801-935-4171 |
| Mailing address | 16255 Ventura Blvd Ste 830, Encino, CA 91436 |
| Enumerated | July 10, 2023 |
| Last updated | December 6, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.