IFAN CASSANDRA POULSEN (NPI# 1225674872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225674872 |
Entity Type | Individual |
Full Name | IFAN CASSANDRA POULSEN |
Practice Address |
6910 S Highland Dr Ste 1 Cottonwood Heights UT 84121-3061 |
Mailing Address |
1140 West 1130 S Building B Orem UT 84058-2888 |
Practice Telephone | 8019354171 |
Enumeration Date | 2019-11-19 |
Last Update Date | 2019-11-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
Street Address |
6910 S HIGHLAND DR STE 1 |
City | COTTONWOOD HEIGHTS |
State | UT |
Zip Code | 84121-3061 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881118784 | Mary E Mattingly | Behavioral Analyst | 6910 S Highland Dr Ste 1, Cottonwood Heights, UT 84121-3061 | 2017-08-01 |
1942816517 | Michael Nelson | Behavior Technician | 6910 S Highland Dr Ste 1, Cottonwood Heights, UT 84121-3061 | 2020-09-19 |
1437761582 | Cora Goldsmith | Behavior Technician | 6910 S Highland Dr Ste 1, Cottonwood Heights, UT 84121-3061 | 2020-08-20 |
1255943700 | Aleyah Hope Hansen | Behavior Technician | 6910 S Highland Dr Ste 1, Cottonwood Heights, UT 84121-3061 | 2020-08-17 |
1265043673 | Hannah Laura Emma Russell | Behavior Technician | 6910 S Highland Dr Ste 1, Cottonwood Heights, UT 84121-3061 | 2020-08-11 |
1053929794 | Tyler J Richins | Behavior Technician | 6910 S Highland Dr Ste 1, Cottonwood Heights, UT 84121-3061 | 2020-07-20 |
1558979435 | Lajae Shacole Alvarez | Behavior Technician | 6910 S Highland Dr Ste 1, Cottonwood Heights, UT 84121-3061 | 2020-07-16 |
1831715309 | Christina Argueta | Behavior Technician | 6910 S Highland Dr Ste 1, Cottonwood Heights, UT 84121-3061 | 2020-06-22 |
1326664798 | Rachel Elsmore | Behavior Technician | 6910 S Highland Dr Ste 1, Cottonwood Heights, UT 84121-3061 | 2020-06-22 |
1386260065 | Taylor Spencer | Behavior Technician | 6910 S Highland Dr Ste 1, Cottonwood Heights, UT 84121-3061 | 2020-06-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
Find all providers in zip 84121 |
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 |
1093209934 | Haley Brooke Shields | Assistant Behavior Analyst | 4098 W Teton Estates Dr, West Jordan, UT 84088-6337 | 2018-06-14 |
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 |
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 |
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City | COTTONWOOD HEIGHTS |
Zip Code | 84121 |
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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.