ALYSSA CLARK (NPI# 1154813285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154813285 |
| Entity Type | Individual |
| Full Name | ALYSSA CLARK |
| Practice Address |
358 S 700 E Ste B307 Salt Lake City UT 84102-2161 |
| Practice Telephone | 8019355796 |
| Mailing Telephone | 8019355796 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509569 | Alyssa Ann Clark | Specialist/Technologist | 1150 Edina St, Dubuque, IA 52001-4203 | 2020-02-09 |
| 1750931648 | Alyssa Marie Clark | Occupational Therapist | 4605 W Crystal Lake Rd, Mchenry, IL 60050-5484 | 2019-09-13 |
| 1548785900 | Alyssa Clark | Behavioral Analyst | 456 Russellville Rd, Westfield, MA 01085-1180 | 2017-08-07 |
| 1902233083 | Alyssa Nanette Clark | Massage Therapist | 140 N 4th St, East Tower 17th Floor, Louisville, KY 40202-4227 | 2013-10-03 |
| 1891731196 | Alyssa Clark | Speech-Language Pathologist | 9 Lakefield Dr, Marlton, NJ 08053-5321 | 2006-06-22 |
| 1467078766 | Alyssa Clark | Behavior Technician | 6600 W Charleston Blvd Ste 111, Las Vegas, NV 89146-1067 | 2020-06-23 |
| 1003467473 | Alyssa Compton Clark | Community Health Worker | 3857 Martin Way E, Olympia, WA 98506-5268 | 2019-09-26 |
| 1306314521 | Alyssa Clark | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2018-11-06 |
| 1962982223 | Alyssa Marie Clark | Speech-Language Pathologist | 401 Oakwood Blvd, Round Rock, TX 78681-4067 | 2018-08-16 |
| 1407376288 | Alyssa Clark | Occupational Therapist | 802 W Drake Rd Ste 133a, Fort Collins, CO 80526-5567 | 2017-06-22 |
| Street Address |
358 S 700 E STE B307 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-2161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669874350 | Sara Kay Fawson | Counselor | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2014-09-24 |
| 1073179651 | Brenna Lawson | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-05-19 |
| 1467917906 | Tanner Wray Padbury | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-02-08 |
| 1457816076 | Nathan Leishman | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-02-07 |
| 1407311319 | Benjamin Wear | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-02-05 |
| 1881159861 | Kierstin Strong | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-02-05 |
| 1255896239 | Bethany Lovelady | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-02-05 |
| 1639634603 | Amber E Lewis | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-02-04 |
| 1669937637 | Jamie Anne Lund | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-02-04 |
| 1841755899 | Jared Moffett | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| 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. |
| 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 |
|---|---|---|---|---|
| 1891395422 | Sam Burk Clark | Behavior Technician | 515 S. 700 E, Suite 2a, Salt Lake City, UT 84102-2142 | 2020-11-01 |
| 1235738121 | Jacob Craig Chandler | Behavior Technician | 1253 E 200 S, Salt Lake City, UT 84102-2601 | 2020-10-21 |
| 1194323709 | Cidney Judkins | Behavior Technician | 2267 E 6720 S, Salt Lake City, UT 84121-3221 | 2020-10-15 |
| 1174130678 | Hannah Clare Hebertson | Behavior Technician | 1258 E Wood Ave, Salt Lake City, UT 84105-2516 | 2020-09-29 |
| 1881200210 | Christina Paries | Behavior Technician | 318 S 600 E Apt 4, Salt Lake City, UT 84102-4020 | 2020-09-21 |
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1437776564 | Nataly A Welch | Behavior Technician | 505 S 900 W, Salt Lake City, UT 84104-1302 | 2020-07-06 |
| 1992328835 | Danielle Elizabeth Jones | Behavior Technician | 2767 S Filmore St, Salt Lake City, UT 84106-3544 | 2020-05-27 |
| 1114551025 | Tina Marie Williamson | Behavior Technician | 515 S 700 E Ste A, Salt Lake City, UT 84102-2801 | 2020-02-29 |
| 1619517042 | Kischel Mary Sutton | Behavior Technician | 515 S 700 E Ste 2, Salt Lake City, UT 84102-2801 | 2020-01-14 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on ALYSSA CLARK.
| 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.