IndividualActive
Mikenzy Fergus
NPI 1063144772 · Behavior Technician · Riverdale, UT
Mikenzy Fergus is a Behavior Technician provider in Riverdale, UT (NPI 1063144772).
Provider details
- NPI number
- 1063144772
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5202 Freeway Park Dr
Riverdale, UT 84405-4016
Phone: (801) 255-5131
Street-level locationGet directions
Mailing address
6013 S Redwood Rd
Taylorsville, UT 84123-5220
Registry dates
- Enumerated
- 2022-06-30
- Last updated
- 2022-06-30
- Certified
- 2022-06-30
Frequently asked questions
- What is Mikenzy Fergus's NPI number?
- Mikenzy Fergus's National Provider Identifier (NPI) is 1063144772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mikenzy Fergus's specialty?
- Mikenzy Fergus is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Mikenzy Fergus located?
- Mikenzy Fergus's practice location on file with NPPES is 5202 Freeway Park Dr, Riverdale, UT 84405-4016.
- What is Mikenzy Fergus's phone number?
- The practice phone number listed in the NPPES registry for Mikenzy Fergus is (801) 255-5131.
- Is Mikenzy Fergus's NPI active?
- Yes — Mikenzy Fergus's NPI (1063144772) is active in the NPPES registry as of the last update on 2022-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.