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Deactivated NPI 1508450404 Deactivated / Inactive NPI Female Practitioner

Jaclyn Roush

Behavior Technician • Murray, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jaclyn Roush has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 22, 2021
NPI Deactivation Date February 12, 2026
Total Practice Duration ~5 Years of Practice (2021 – 2026)

Professional Overview & Biography Verified Profile Summary

Jaclyn Roush was a registered Behavior Technician practicing in Murray, UT. Throughout an active medical career spanning 5 years, Jaclyn Roush provided care at the practice location at 6192 S RODEO LN until profile deactivation on 2026-02-12.

Practice Location & Contact Primary Location

Practice Address

6192 S Rodeo Ln

Murray, UT 841212034

Telephone 8015997403

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Murray, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
192 Specialists

Practicing in Murray, UT (10627 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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NPI Profile Deactivated February 12, 2026

Record deactivated on February 12, 2026

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Updated Practice Location February 19, 2025

Registered at 331 W 2700 S, SOUTH SALT LAKE, UT 841152904 (Tel: 8016783317)

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Provider Name / Credentials Updated February 19, 2025

Recorded as JACLYN KREMER

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Updated Business Mailing Address March 16, 2021

Registered at 6910 S HIGHLAND DR, COTTONWOOD HEIGHTS, UT 841213060 (Tel: 8019354171)

NPI Profile Active February 22, 2021

NPI status registered as active in NPPES database

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Updated Practice Location February 22, 2021

Registered at 6192 S RODEO LN, MURRAY, UT 841212034 (Tel: 8015997403)

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Updated Business Mailing Address February 22, 2021

Registered at 6192 S RODEO LN, MURRAY, UT 841212034 (Tel: 8015997403)

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Provider Name / Credentials Updated February 22, 2021

Recorded as JACLYN ROUSH

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2021

Behavior Technician

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Initial NPI Registration & Enumeration February 22, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508450404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2021
Last Update: February 22, 2021
Deactivation Date: February 12, 2026

Mailing Address

6192 S Rodeo Ln

Murray, UT 841212034

Phone: 8015997403

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.