Healthcare Provider Details

I. General information

NPI: 1417531807
Provider Name (Legal Business Name): DAYTON STERLING DEJONG M.A., BCBA, LBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2021
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 E COTTONWOOD PKWY
SALT LAKE CITY UT
84121-7055
US

IV. Provider business mailing address

6112 RIDGE RD
HIGHLAND UT
84003-3612
US

V. Phone/Fax

Practice location:
  • Phone: 801-448-6195
  • Fax:
Mailing address:
  • Phone: 801-633-2252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number14304657-2506
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: