IndividualActive
Mckenzie Niebergall, BCABA
NPI 1356106124 · Assistant Behavior Analyst · South Jordan, UT
Provider details
- NPI number
- 1356106124
- Entity type
- Individual
- Primary specialty
- Assistant Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCABA
- Sex
- Female
- Sole proprietor
- No
- License
- 0-23-14822 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
881 W Baxter Dr Ste 100
South Jordan, UT 84095-8506
Phone: (877) 565-7169
Fax: (703) 348-3267
Approximate (ZIP-level) locationGet directions
Mailing address
658 E 600 N Apt 11
Logan, UT 84321-3555
Registry dates
- Enumerated
- 2024-02-20
- Last updated
- 2024-02-20
- Certified
- 2024-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.