Autism Centers of Utah, LLC · Behavioral Analyst

1243 Gambel Oak Way, Park City, UT 84098-1579

Overview

Autism Centers of Utah, LLC is a Behavioral Analyst (organization) practicing in Park City, Utah. The National Provider Identifier (NPI) is #1093597726, which was assigned on October 17, 2023, and the registration record was last updated on October 17, 2023. The practitioner's main practice location is at 1243 Gambel Oak Way, Park City, UT 84098-1579; the contact telephone number is 5618662097, and the fax number is 7546001967. The primary taxonomy of Autism Centers of Utah, LLC is Behavioral Analyst (103K00000X). The authorized official for Autism Centers of Utah, LLC is Cecilia Martinez (Billing Manager).

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Provider Information

NPI 1093597726
Entity Type Organization
Organization Name AUTISM CENTERS OF UTAH, LLC
Provider Name AUTISM CENTERS OF UTAH, LLC
Practice Address 1243 Gambel Oak Way
Park City
UT 84098-1579
Practice Telephone 5618662097
Practice Fax Number 7546001967
Mailing Address 1239 E Newport Center Dr
Deerfield Beach
FL 33442-7711
Mailing Telephone 7544443707
Mailing Fax Number 7546001967
Certification Date 2023-10-17
Enumeration Date 2023-10-17
Last Update Date 2023-10-17
Is Organization Subpart N

Authorized Official Information

Official Name CECILIA MARTINEZ
Official Title BILLING MANAGER
Telephone 5617707121

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y103K00000XBehavior Analyst193200000X MULTI-SPECIALTY GROUP

Other Provider Names

Other Organization NameType
Autism Centers of Utah, LLCFormer Legal Business Name

Taxonomy Information

Primary Taxonomy

Code 103K00000X
Taxonomy Behavioral Analyst
Classification Behavior Analyst
Grouping Behavioral Health & Social Service Providers
Definition: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

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Corey Fuller 615 Union Ave, Peekskill, NY 10566-5505Behavioral Analyst2025-03-08
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Maileidis B Sosa Martinez 3530 Sw 153rd Ave, Miami, FL 33185-4723Behavioral Analyst2025-03-07
Destiny Jackson 115 Pine Knoll Ln, Harvest, AL 35749-9358Behavioral Analyst2025-03-08
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Gina Luongo 143 Wiman Ave, Staten Island, NY 10308-3342Behavioral Analyst2025-03-07
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Emily Mullinax 8751 Sudley Rd Fl 1, Manassas, VA 20110-8319Behavioral Analyst2025-03-07
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Location Information

Street Address 1243 GAMBEL OAK WAY
City PARK CITY
State UT
Zip Code 84098-1579
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Melinda S Roalstad 1526 West Ute Blvd Ste 110, Park City, UT 84098Physician Assistant2008-04-10
Beth Anita Rylands 1640 W. Redstone Center Dr., Suite 200, Park City, UT 84098Physical Therapy Assistant2008-05-21
Pamela Hope Haus 1640 West Redstone Center Drive, Suite 200, Park City, UT 84098Occupational Therapist2007-10-02
Rebecca Hansen 1640 W Redstone Center Dr, Suite 200, Park City, UT 84098Physical Therapist2016-06-28
Blair Archbold Smith 6880 Canyon Drive Court, Park City, UT 84098Physical Therapist2008-07-18
Janae Sanders 2700 Homestead Road, Ste 210, Park City, UT 84098Counselor2019-08-26
Kortney James Stirland 750 Round Valley Drive #203, Park City, UT 84098Pharmacist2011-04-12
Jeffrey S Holverson 6240 N Snowview Dr, Park City, UT 84098Internal Medicine Physician2008-07-22
Megan Franz 3100 Pinebrook Rd, Park City, UT 84098Mental Health Counselor2015-10-07
Donna B Fischer 6531 N Landmark Dr., Park City, UT 84098General Practice Physician2008-11-25
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.