JENISSA NICHOLS (NPI# 1407259005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407259005 |
| Entity Type | Individual |
| Full Name | JENISSA NICHOLS |
| Practice Address |
1140 W 1130 S Suite B Orem UT 84058 |
| Mailing Address |
1812 W 1120 S Springville UT 84663-3542 |
| Practice Telephone | 8019354171 |
| Mailing Telephone | 8016696377 |
| Enumeration Date | 2014-09-27 |
| Last Update Date | 2020-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | 1-17-27668 | UT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1875 S Geneva Rd, Orem, UT 840582217 | 8014370490 |
| Street Address |
1140 W 1130 S SUITE B |
| City | OREM |
| State | UT |
| Zip Code | 84058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960716 | Jordyn Lee Brown | Behavior Technician | 1140 W 1130 S Suite B, Orem, UT 84058 | 2020-10-20 |
| 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 |
| Find all providers in zip 84058 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| 1568015287 | Marion Leialohalani Thomas | Behavioral Analyst | 1140 West 1130 South Building B, Orem, UT 84058-2888 | 2019-07-22 |
| 1033655469 | Cassie Ann Sorenson | Behavioral Analyst | 1111 S 1350 W, Orem, UT 84058-3817 | 2017-01-09 |
| 1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
| 1205437860 | Mataya Elizabeth Debra Corsi | Behavioral Analyst | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2020-11-02 |
| 1093315335 | Emi Thea Endrizzi | Behavioral Analyst | 1140 W 1130 S, Suite B, Orem, UT 84058 | 2020-10-27 |
| 1023621828 | Jade Summerhays | Behavioral Analyst | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2020-08-31 |
| 1689291973 | Trevor Joshua Stookey | Behavioral Analyst | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2020-07-02 |
| 1982221784 | Caitlin Murdock | Behavioral Analyst | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2020-06-29 |
| 1003432170 | Naomi Aseneth Munoz | Behavioral Analyst | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2020-06-24 |
| Find all providers in OREM | ||||
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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.