HALEY BROOKE SHIELDS (NPI# 1093209934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093209934 |
| Entity Type | Individual |
| Full Name | HALEY BROOKE SHIELDS |
| Other Name | HALEY BROOKE WEBB |
| Practice Address |
4098 W Teton Estates Dr West Jordan UT 84088-6337 |
| Practice Telephone | 8015602551 |
| Mailing Telephone | 8015602551 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 11608862-2507 | UT | Behavioral Health & Social Service Providers |
| N | 106E00000X | Assistant Behavior Analyst | 0-19-10435 | UT | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760874788 | Haley Fransen Shields | Physician Assistant | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2015-02-27 |
| Street Address |
4098 W TETON ESTATES DR |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84088-6337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
| 1659861847 | Miller Anesthesia Consultants PC | Anesthesiology | Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 | 2018-05-14 |
| 1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
| 1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
| 1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
| 1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
| 1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
| 1528328846 | Orthodontic Payment Services, LLC | Dentist | 1231 W 9000 S #d, West Jordan, UT 84088 | 2012-05-21 |
| 1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
| 1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
| Find all providers in zip 84088 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184247066 | Alexus Marie Touhuni I | Assistant Behavior Analyst | 3576 S Park Dale Ct # Qt, West Valley, UT 84120-7904 | 2020-05-26 |
| 1932668654 | Anne Simmons | Assistant Behavior Analyst | 10336 S Temple View Cir, South Jordan, UT 84095-8922 | 2019-03-13 |
| 1699295220 | Jennifer Ann Mosher | Assistant Behavior Analyst | 415 Medical Dr # D301, Bountiful, UT 84010-4946 | 2017-06-24 |
| 1801322367 | Mallory Hendrickson | Assistant Behavior Analyst | 744 E 1650 S, Orem, UT 84097 | 2017-05-03 |
| 1508315953 | Helon Murphy | Assistant Behavior Analyst | 1448 W Anthony Cir, Slc, UT 84104-3437 | 2016-09-27 |
| 1225674872 | Ifan Cassandra Poulsen | Assistant Behavior Analyst | 6910 S Highland Dr Ste 1, Cottonwood Heights, UT 84121-3061 | 2019-11-19 |
| 1063973626 | Courtney Beckstrand Stewart | Assistant Behavior Analyst | 2940 N Church St Ste 303, Layton, UT 84040 | 2019-03-27 |
| 1043795040 | Brenna Lyn Wagner | Assistant Behavior Analyst | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2018-09-26 |
| 1235618547 | Mccall Wyn Kirby | Assistant Behavior Analyst | 51 W 3900 S, Salt Lake City, UT 84107-1431 | 2018-08-08 |
| 1952889271 | Viridiana Rodriguez | Assistant Behavior Analyst | 4062 W Shady Plum Way, South Jordan, UT 84009-3908 | 2018-07-30 |
| Find all providers with the same taxonomy | ||||
| City | WEST JORDAN |
| Zip Code | 84088 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.