IFAN CASSANDRA POULSEN


Address: 6910 S Highland Dr Ste 1, Cottonwood Heights, UT 84121-3061
Phone: 8019354171

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106E00000X Assistant Behavior Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 6910 S HIGHLAND DR STE 1
City COTTONWOOD HEIGHTS
State UT
Zip Code 84121-3061

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 106E00000X
Grouping Behavioral Health & Social Service Providers
Classification Assistant Behavior Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and state

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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Competitor

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City COTTONWOOD HEIGHTS
Zip Code 84121

Improve Information

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Dataset Information

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.

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