JORDAN KEVIN WOODRUFF (NPI# 1447713557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447713557 |
| Entity Type | Individual |
| Full Name | JORDAN KEVIN WOODRUFF |
| Practice Address |
11715 S State St Apt E204 Draper UT 84020-6910 |
| Practice Telephone | 2089654563 |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-15-2763-0627 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225296767 | Jordan Elizabeth Woodruff | Psychiatry & Neurology | 1000 E 24th St, Kansas City, MO 64108-2776 | 2008-05-31 |
| Street Address |
11715 S STATE ST APT E204 |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-6910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| 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 |
|---|---|---|---|---|
| 1316593205 | Charisse Miller | Behavior Technician | 11715 S State St Apt J103, Draper, UT 84020-6935 | 2019-08-15 |
| 1104427392 | Dawnielle Winfield | Behavior Technician | 12222 S 1000 E Ste 3, Draper, UT 84020-3203 | 2020-11-04 |
| 1205437506 | Hallie Hughes | Behavior Technician | 12222 S 1000 E Ste 3, Draper, UT 84020-3203 | 2020-11-03 |
| 1427659895 | Sonia Roberts | Behavior Technician | 12222 S 1000 E Ste 3, Draper, UT 84020-3203 | 2020-11-03 |
| 1902407208 | Kaden Sepulveda | Behavior Technician | 12222 S 1000 E Ste 3, Draper, UT 84020-3203 | 2020-11-03 |
| 1699376004 | Natasha Ogle | Behavior Technician | 12222 S 1000 E Ste 3, Draper, UT 84020-3203 | 2020-11-03 |
| 1629679014 | Helen Dantes | Behavior Technician | 12222 S 1000 E Ste 3, Draper, UT 84020-3203 | 2020-11-03 |
| 1962003558 | Nicole Ferry | Behavior Technician | 12222 S 1000 E Ste 3, Draper, UT 84020-3203 | 2020-11-02 |
| 1740881325 | Ashlyn Ahrendsen | Behavior Technician | 12222 S 1000 E Ste 3, Draper, UT 84020-3203 | 2020-11-02 |
| 1881293652 | Shaylee Butcher | Behavior Technician | 12222 S 1000 E Ste 3, Draper, UT 84020-3203 | 2020-10-22 |
| Find all providers in DRAPER | ||||
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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.