LORI SMITH (NPI# 1508226523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508226523 |
| Entity Type | Individual |
| Full Name | LORI SMITH |
| Practice Address |
415 Medical Dr Ste D101 Bountiful UT 84010-8905 |
| Practice Telephone | 8016831062 |
| Practice Fax Number | 8012955537 |
| Mailing Telephone | 8016831062 |
| Mailing Fax Number | 8012955537 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 876000308007 | 05 | |
| UT | RAILROAD MEDICARE | 260022408 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 327 W Gordon Ave Ste 2, Layton, UT 840412381 | 8016831062 | 8012955537 |
| 370 E South Temple Ste 175, Salt Lake City, UT 841111241 | 8016831062 | 8012955537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899721 | Lori Jean Smith | Registered Nurse | 121 Elderberry Dr, Berkeley Springs, WV 25411-6361 | 2020-10-21 |
| 1942704358 | Lori Smith | Specialist/Technologist, Other | 6 Reardon Ct, Savannah, GA 31406-6204 | 2018-03-20 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1609254333 | Lori Smith | Licensed Practical Nurse | 60 Windsorshire Dr Apt D, Rochester, NY 14624-1219 | 2015-05-14 |
| 1427435502 | Lori Dawn Smith | Registered Nurse | 22733 Mariano St, Woodland Hills, CA 91367-6129 | 2015-04-28 |
| 1619210671 | Lori K Smith | Pharmacist | 4793 Sweetmeadow Cir, Sarasota, FL 34238-3398 | 2013-03-28 |
| 1285993816 | Lori Lynn Smith | Speech-Language Pathologist | 65611 E Bay Rd, North Bend, OR 97459-8226 | 2012-05-16 |
| 1205106275 | Lori Elizabeth Smith | Physical Therapy Assistant | 1947 Casita Dr, Grants Pass, OR 97527-9206 | 2012-01-09 |
| 1760767321 | Lori Smith | Contractor | 8220 155th Ave, Howard Beach, NY 11414-1770 | 2011-10-14 |
| 1174807929 | Lori Triebel Smith | Dentist | 13 S Coo Y Yah St, Pryor, OK 74361-4624 | 2011-09-28 |
| Street Address |
415 MEDICAL DR STE D101 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942260401 | Breanna R Nelson | Speech-Language Pathologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2006-03-27 |
| 1114525862 | Candace Ann Abbott | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-14 |
| 1083212930 | Breannen Cohen | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-13 |
| 1376140798 | Laura Alicia Lucky | Counselor | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-08 |
| 1639776693 | Taeko Michelle Colbert | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-02 |
| 1699382887 | Anna L Straup | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-09-30 |
| 1851903983 | Elaina M Grotepas | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-08-19 |
| 1104437110 | Eden Deanne Steffey | Psychologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-08-12 |
| 1891303111 | Molly Murphy Dwyer | Behavioral Analyst | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-07-22 |
| 1972127728 | Benjamin Larsen | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| 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 |
|---|---|---|---|---|
| 1578162194 | Kylie Steenblik | Behavior Technician | 1909 Ridgehill Dr, Bountiful, UT 84010-1022 | 2020-10-24 |
| 1619576030 | Rachel Lynn Hileman | Behavior Technician | 1742 Ridge Point Dr, Bountiful, UT 84010-1055 | 2020-10-19 |
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1649839309 | Cassidy Brooke Ralph | Behavior Technician | 2512 S 450 E, Bountiful, UT 84010-4313 | 2019-06-06 |
| 1669994604 | Ulia Gamble | Behavior Technician | 830 N 500 W Apt 5, Bountiful, UT 84010-6844 | 2017-07-12 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1114525862 | Candace Ann Abbott | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-14 |
| 1083212930 | Breannen Cohen | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-13 |
| 1639776693 | Taeko Michelle Colbert | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-02 |
| 1699382887 | Anna L Straup | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-09-30 |
| Find all providers in BOUNTIFUL | ||||
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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.