Provider Demographics
NPI:1902419567
Name:BUTTARS, BRAYDEN LANCE (BCBA, MA)
Entity type:Individual
Prefix:
First Name:BRAYDEN
Middle Name:LANCE
Last Name:BUTTARS
Suffix:
Gender:M
Credentials:BCBA, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 N 1100 E STE B
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2918
Mailing Address - Country:US
Mailing Address - Phone:385-486-4190
Mailing Address - Fax:
Practice Address - Street 1:36 S 1100 E
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2835
Practice Address - Country:US
Practice Address - Phone:818-241-6853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2024-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTRBT-20-120673106S00000X
UT14190271-2506103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician