Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACOB ERIC FOSSUM
NPI 1043130305
Behavior Technician in Sandy, UT

Active since July 17, 2026

NPPES record added: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Eric Fossum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB ERIC FOSSUM (NPI 1043130305) is an individual behavior technician in Sandy, Utah and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1043130305
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJACOB ERIC FOSSUM
Location Address8031 S 700 ESandy, UT 84070-0555
Mailing Address8031 S 700 ESandy, UT 84070-0555 · (877) 222-4621
Sole ProprietorNo
Enumeration DateJuly 17, 2026
NPPES CertifiedJuly 17, 2026
NPI 1043130305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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.
8031 S 700 E, Sandy, UT 84070

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
8031 S 700 E
SANDY, UT 84070
Behavior Analyst
8031 S 700 E
SANDY, UT 84070
Behavior Technician
8031 S 700 E
SANDY, UT 84070
Behavior Technician
8031 S 700 E
SANDY, UT 84070
Behavior Technician
8031 S 700 E
SANDY, UT 84070
Behavior Analyst
8031 S 700 E
SANDY, UT 84070
Behavior Technician
8031 S 700 E
SANDY, UT 84070
Behavior Technician
8031 S 700 E
SANDY, UT 84070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Fossum's NPI number?

The NPI number for Jacob Fossum is 1043130305. It was assigned to this individual provider in the NPPES registry on July 17, 2026.

Where is Jacob Fossum located?

Jacob Fossum practices at 8031 S 700 E, Sandy, UT 84070. The listed phone number is (877) 222-4621.

What is Jacob Fossum's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jacob Fossum was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.