SOPHIA SORENSEN (NPI# 1174139984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174139984 |
| Entity Type | Individual |
| Full Name | SOPHIA SORENSEN |
| Practice Address |
1875 S Geneva Rd Orem UT 84058-2217 |
| Practice Telephone | 8014370490 |
| Mailing Telephone | 8014370490 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| 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 |
| Street Address |
1875 S GENEVA RD |
| City | OREM |
| State | UT |
| Zip Code | 84058-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669740445 | Jory Art Liddiard | Occupational Therapist | 1875 S Geneva Rd, Outpatient Rehab, Orem, UT 84058-2217 | 2011-12-07 |
| 1205437860 | Mataya Elizabeth Debra Corsi | Behavioral Analyst | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2020-11-02 |
| 1154921567 | Angela Maria Hernandez | Behavior Technician | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2020-10-27 |
| 1750995791 | Luka Ryan Karony | Behavior Technician | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2020-09-08 |
| 1164036448 | Aubree Linda Alford | Behavior Technician | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2020-09-03 |
| 1023621828 | Jade Summerhays | Behavioral Analyst | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2020-08-31 |
| 1104434877 | Morgann Bowers | Behavior Technician | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2020-07-20 |
| 1659989325 | Britney Jeane Preator | Behavior Technician | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2020-07-20 |
| 1114545472 | Rikaela Anna Nevada Cook | Behavior Technician | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2020-07-13 |
| 1689291973 | Trevor Joshua Stookey | Behavioral Analyst | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2020-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
| 1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
| 1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
| 1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
| 1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
| 1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
| 1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
| 1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
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| 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 |
|---|---|---|---|---|
| 1104427723 | Tad Wesley Jacobs | Behavior Technician | 1250 S 620 W # E1050, Orem, UT 84058-3326 | 2020-11-02 |
| 1588263974 | Olivia Johnson | Behavior Technician | 1140 W 1390 S, Orem, UT 84058-2278 | 2020-10-18 |
| 1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
| 1578179933 | Beulah Joy Russell | Behavior Technician | 1051 N 220 W Apt L1051, Orem, UT 84057-5810 | 2020-09-21 |
| 1609485978 | Kelly Mae Vail | Behavior Technician | 1140 W 1130 S Building B, Orem, UT 84058-2888 | 2020-07-23 |
| 1659991115 | Anaelia Call | Behavior Technician | 1140 W. 1130 S. Building B., Orem, UT 84058-8405 | 2020-04-24 |
| 1336768449 | Cameron Corry Asay | Behavior Technician | 1140 W. 1130 S. Building B, Orem, UT 84058-2888 | 2020-04-09 |
| 1366077208 | Sarah Vang | Behavior Technician | 908 W 260 S, Orem, UT 84058-4202 | 2020-03-11 |
| 1164073177 | Guy Thomas Brewer | Behavior Technician | 1140 W 1130 S, Building B, Orem, UT 84058-2888 | 2019-09-23 |
| 1184274417 | Dilan Andres Johnston | Behavior Technician | 1140 West 1130 South, Building B, Orem, UT 84058-2888 | 2019-09-18 |
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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.