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Deactivated NPI 1598202590 Deactivated / Inactive NPI Female Practitioner

Katelyn Peck

Behavior Technician • South Ogden, 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, Katelyn Peck has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 27, 2017
NPI Deactivation Date May 11, 2020
Total Practice Duration ~3 Years of Practice (2017 – 2020)

Professional Overview & Biography Verified Profile Summary

Katelyn Peck was a registered Behavior Technician practicing in South Ogden, UT. Throughout an active medical career spanning 3 years, Katelyn Peck provided care at the practice location at 5160 SUNSET LN until profile deactivation on 2020-05-11.

Practice Location & Contact Primary Location

Practice Address

5160 Sunset Ln

South Ogden, UT 844034230

Telephone 8019355796
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in South Ogden, UT

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

Practicing in South Ogden, 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

CMS Verified: 2020-06-09
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License UT RBT-17-28730

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Allison Janssen , BS, RBT

Developmental Therapist

NPI 1033586946

Bachelor of Science, Registered Behavior Technician

Haylie Theurer

Behavior Technician

NPI 1033802962
Shelby Simpson

Behavior Technician

NPI 1053922047
NPI 1063800696

Registered Behavior Technician, SCMT, Music Therapist - Board Certified

Brenna Lawson

Behavior Technician

NPI 1073179651
Jennifer Burnazos , RBT

Behavior Analyst

NPI 1083074777

Registered Behavior Technician

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location June 09, 2020

Registered at 5160 SUNSET LN, SOUTH OGDEN, UT 844034230 (Tel: 8019355796)

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Updated Business Mailing Address June 09, 2020

Registered at 5160 SUNSET LN, SOUTH OGDEN, UT 844034230

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Provider Name / Credentials Updated June 09, 2020

Recorded as KATELYN PECK

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2020

Behavior Technician (License #RBT-17-28730 in UT)

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NPI Profile Deactivated May 11, 2020

Record deactivated on May 11, 2020

NPI Profile Active January 27, 2017

NPI status registered as active in NPPES database

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Updated Practice Location January 27, 2017

Registered at 5160 SUNSET LN, SOUTH OGDEN, UT 844034230 (Tel: 8019355796)

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Updated Business Mailing Address January 27, 2017

Registered at 5160 SUNSET LN, SOUTH OGDEN, UT 844034230

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Provider Name / Credentials Updated January 27, 2017

Recorded as KATELYN PECK

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2017

Behavior Technician (License #RBT-17-28730 in UT)

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Initial NPI Registration & Enumeration January 27, 2017

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: 1598202590
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2017
Last Update: June 09, 2020
Deactivation Date: May 11, 2020
Sole Proprietor: No

Mailing Address

5160 Sunset Ln

South Ogden, UT 844034230

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.