BRIAN SHAW (NPI# 1285295790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285295790 |
| Entity Type | Individual |
| Full Name | BRIAN SHAW |
| Credential | BT |
| Practice Address |
515 E 700 S Ste 2a Slc UT 84102-3307 |
| Mailing Address |
515 S 700 E Ste 2a Slc UT 84102-2855 |
| Practice Telephone | 8019354171 |
| Mailing Telephone | 8019354171 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 106S00000X | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073930525 | Brian Thomas Shaw | Registered Nurse | 248 Newton Rd, Rochester, NY 14626-2340 | 2014-03-22 |
| 1992331961 | Brian Shaw | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2020-03-20 |
| 1124653621 | Brian Avery Shaw | Pharmacist | 890 Richmond Plz, Richmond, KY 40475-2564 | 2020-03-05 |
| 1457997827 | Brian Shaw | Physical Therapist | 1334 Terry Ave, Seattle, WA 98101-2747 | 2019-11-20 |
| 1134787724 | Brian Bor-uei Shaw | Physical Therapist | 3292 E Willow St, Signal Hill, CA 90755-2309 | 2019-05-30 |
| 1023540986 | Brian Ishum Shaw | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2017-03-30 |
| 1518321819 | Brian Shaw | Internal Medicine | 234 Goodman St, Ml 0781, Cincinnati, OH 45219-2364 | 2016-04-12 |
| 1124366331 | Brian Shaw | Occupational Therapist | 2025 E Egbert St, Brighton, CO 80601-2517 | 2013-01-22 |
| 1417238478 | Brian Shaw | Pharmacist | 615 W Main St, Norman, OK 73069-7062 | 2011-09-05 |
| 1255662508 | Brian Kenneth Shaw | Counselor | 3685 N 129th St, Omaha, NE 68164-5211 | 2010-01-27 |
| Street Address |
515 E 700 S STE 2A |
| City | SLC |
| State | UT |
| Zip Code | 84102-3307 |
| 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 |
|---|---|---|---|---|
| 1619510807 | Michelle K Price | Behavior Technician | 515 S 700 E Ste 2a, Slc, UT 84102-2855 | 2019-10-21 |
| 1134789647 | Bergen Emily Meyer | Behavior Technician | 515 S 700 E, Slc, UT 84102-2801 | 2019-06-17 |
| 1356820872 | Travis Pentz Miller | Behavior Technician | 4460 S Highland Dr, Slc, UT 84124-3543 | 2018-08-07 |
| 1720576572 | Brooke L Thurgood | Behavior Technician | 515 S 700 E Ste 2a, Slc, UT 84102-2855 | 2018-04-26 |
| 1740726173 | Jesse Daniels | Behavior Technician | 515 S 700 E Ste 2a, Slc, UT 84102-2855 | 2017-01-09 |
| 1114463528 | Matthew Wilkins | Behavior Technician | 515 S 700 E Ste 2a, Slc, UT 84102-2855 | 2017-01-09 |
| 1689110017 | Tylynn Southwick | Behavior Technician | 515 S 700 E Ste 2a, Slc, UT 84102-2855 | 2017-01-09 |
| 1013453430 | Jenneal Rogers | Behavior Technician | 515 S 700 E Ste 2a, Slc, UT 84102-2855 | 2017-01-09 |
| 1225574650 | Alyssa Witham | Behavior Technician | 515 S 700 E Ste 2a, Slc, UT 84102-2855 | 2017-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356141 | Kelsey Reynolds | Behavior Technician | 3432 E Oakledge Rd, Cottonwood Heights, UT 84121-5819 | 2020-11-07 |
| 1518568344 | Savanah Gibb | Behavior Technician | 3180 Mount Lomond Dr, North Ogden, UT 84414-1917 | 2020-11-06 |
| 1679174486 | Kaylie Cevering | Behavior Technician | 2955 N 400 W Apt 1162, Layton, UT 84041-5421 | 2020-11-06 |
| 1609477447 | Skyler Claraence Farmer | Behavior Technician | 645 Swenson Ave Apt 6, Springville, UT 84663-2563 | 2020-11-06 |
| 1881295103 | Riley L Andrus | Behavior Technician | 6190 S. Highland Drive, Cottonwood Heights, UT 84121-8412 | 2020-11-03 |
| 1649871112 | Michael Mcilrath | Behavior Technician | 8913 N Suffolk Ln, Eagle Mountain, UT 84005-4457 | 2020-11-02 |
| 1104427723 | Tad Wesley Jacobs | Behavior Technician | 1250 S 620 W # E1050, Orem, UT 84058-3326 | 2020-11-02 |
| 1083215644 | Tamara Moultrie | Behavior Technician | 2940 N Church St Ste 2a, Layton, UT 84040-6614 | 2020-11-02 |
| 1891395422 | Sam Burk Clark | Behavior Technician | 515 S. 700 E, Suite 2a, Salt Lake City, UT 84102-2142 | 2020-11-01 |
| 1295335875 | Elizabeth Craig | Behavior Technician | 2941 W 3500 N, Farr West, UT 84404-8607 | 2020-10-31 |
| Find all providers with the same taxonomy | ||||
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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.