JEFFREY JOSEPH PETERSON (NPI# 1568981314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568981314 |
| Entity Type | Individual |
| Full Name | JEFFREY JOSEPH PETERSON |
| Practice Address |
162 N 400 E Ste A-105 St. George UT 84770 |
| Mailing Address |
162 N 400 E Ste A105 St George UT 84770-7192 |
| Practice Telephone | (435) 275-8911 |
| Practice Fax Number | 4352009442 |
| Mailing Telephone | 4352758911 |
| Mailing Fax Number | 4352009442 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205328515 | Jeffrey Michael Peterson | Specialist/Technologist | 15534 Calabria Ct, Bakersfield, CA 93314-8055 | 2018-06-01 |
| 1245630177 | Jeffrey Peterson | Specialist/Technologist | 17735 Xylite St Ne, Ham Lake, MN 55304-4436 | 2014-08-28 |
| 1578889945 | Jeffrey Peterson | Ophthalmology | 615 Piikoi St Ste 205, Honolulu, HI 96814-3139 | 2010-04-10 |
| 1669689949 | Jeffrey Scott Peterson | Orthopaedic Surgery | 3085 Sparta St, Mcminnville, TN 37110-1364 | 2007-05-17 |
| 1689790917 | Jeffrey Hal Peterson | Chiropractor | 8290 E Broadway Blvd, Tucson, AZ 85710-4006 | 2007-03-21 |
| 1417003567 | Jeffrey Peterson | Psychiatry & Neurology | 2911 E Coronado St, Anaheim, CA 92806 | 2007-01-25 |
| 1740214345 | Jeffrey Scott Peterson | Physical Therapist | 204 S Mckean St, Butler, PA 16001-6012 | 2006-07-10 |
| 1598323271 | Jeffrey Steven Peterson | Anesthesiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2019-05-29 |
| 1669608899 | Jeffrey S Peterson | Social Worker | 625 W Washington Ave, Madison, WI 53703-2637 | 2009-06-02 |
| 1497832513 | Jeffrey J Peterson | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 | 2006-11-01 |
| Street Address |
162 N 400 E STE A-105 |
| City | ST. GEORGE |
| State | UT |
| Zip Code | 84770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| 1245690643 | Vision Care 20/20, PC | Optometrist | 110 East 100 South, Saint George, UT 84770 | 2016-02-26 |
| Find all providers in zip 84770 | ||||
| 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 |
|---|---|---|---|---|
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1851802912 | Kylie Wright | Behavior Technician | 1680 E 230 N, Bldg A, St. George, UT 84790 | 2017-10-17 |
| 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 | ||||
| City | ST. GEORGE |
| Zip Code | 84770 |
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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.