Healthcare Provider Details
I. General information
NPI: 1326586124
Provider Name (Legal Business Name): BAILEY K. CHIPLEY M.S., BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/01/2017
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7733 S REDWOOD RD
WEST JORDAN UT
84084-5518
US
IV. Provider business mailing address
7733 S REDWOOD RD
WEST JORDAN UT
84084-5518
US
V. Phone/Fax
- Phone: 406-860-4235
- Fax:
- Phone: 406-860-4235
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 12038411-2506 |
| License Number State | UT |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | RBT-17-29067 |
| License Number State | MT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: