NPI 1356106124

McKenzie Niebergall, BCABA

Practitioner Assistant Behavior Analyst South Jordan, UT

Practice location

Address: 881 W Baxter Dr STE 100, South Jordan, UT 84095-8506
Phone: (877) 565-7169
Fax: (703) 348-3267
Mailing address: 658 E 600 N APT 11, Logan, UT 84321-3555

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 0-23-14822 (UT)

Other Assistant Behavior Analyst providers in Utah →

Registry record

NPI: 1356106124
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Feb 2024
Record last updated: 20 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.