CARLI JOYE BLAKE (NPI# 1578192761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578192761 |
| Entity Type | Individual |
| Full Name | CARLI JOYE BLAKE |
| Practice Address |
6077 W Brush Fork Dr West Jordan UT 84081-5748 |
| Practice Telephone | 8016946510 |
| Mailing Telephone | 8016946510 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | UT | Behavioral Health & Social Service Providers |
| Street Address |
6077 W BRUSH FORK DR |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84081-5748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659731453 | Tiffany Mcgilvery | Social Worker | 6172 W 7000 S, West Jordan, UT 84081 | 2016-03-07 |
| 1356767388 | Ken C Mccauley | Counselor | 5454 Balsa Avenue, West Jordan, UT 84081 | 2014-03-14 |
| 1780007641 | Deborah Harris | Social Worker | 8151 S 5940 W, West Jordan, UT 84081 | 2014-01-29 |
| 1396081303 | Tamra Monique Parko | Social Worker | 5134 Ticklegrass Rd, West Jordan, UT 84081 | 2012-12-19 |
| 1144579616 | Intermountain Healthcare | General Acute Care Hospital | 5572 West Slate Canyon Drive, Apt B-101, West Jordan, UT 84081 | 2012-08-30 |
| 1366763377 | Michael Jones | Behavioral Analyst | 5500 S Bagley Rd, Bldg J, West Jordan, UT 84081 | 2010-06-14 |
| 1073018545 | Kendra Johnson | Technician, Pathology | 3809 W 6200 S, Kearns, UT 84081 | 2018-03-27 |
| 1881080240 | Jeffrey Arbez Zinger | Counselor | 8235 S Spratling Dr, West Jordan, UT 84081-1733 | 2015-04-13 |
| 1356723928 | Ashley Dean Kammerman | Occupational Therapy Assistant | 5426 W Harvestmill Dr, West Jordan, UT 84081-1795 | 2015-06-19 |
| 1699231142 | Deborah Michelle Kiesewetter | Behavior Technician | 8306 S Water Oak Dr, West Jordan, UT 84081-1829 | 2019-02-20 |
| Find all providers in zip 84081 | ||||
| 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 |
|---|---|---|---|---|
| 1811595424 | Ismenia Celeste Torres | Behavior Technician | 5017 W 6400 S, West Jordan, UT 84081-4043 | 2020-10-15 |
| 1316553811 | Sarah Jane Midgley | Behavior Technician | 8147 S Mount Spencer Cir, West Jordan, UT 84088-5937 | 2020-09-20 |
| 1609492073 | Jeffrey Howard Park | Behavior Technician | 7340 S 2345 W, West Jordan, UT 84084-3106 | 2020-06-22 |
| 1831713718 | Grant Tanaka | Behavior Technician | 8454 S 2200 W, West Jordan, UT 84088-9516 | 2020-06-05 |
| 1225657943 | Teesha Beck | Behavior Technician | 3851 W Cobble Ridge Dr Apt 1304, West Jordan, UT 84084-4904 | 2020-04-13 |
| 1073158002 | Lauren Carissa Langley | Behavior Technician | 6902 S Crystal Downs Ln Apt 24v, West Jordan, UT 84084-1885 | 2019-11-13 |
| 1083266993 | Michaela Goodloe | Behavior Technician | 4047 W Scarsborough Ln, West Jordan, UT 84084-5092 | 2019-07-10 |
| 1184288995 | Trent Sanders | Behavior Technician | 7686 S Woodhue Ct, West Jordan, UT 84081-3660 | 2019-04-26 |
| 1982267829 | Veronica G Johnson | Behavior Technician | 7102 S Case Mountain Cv, West Jordan, UT 84081-3996 | 2019-04-16 |
| 1699231142 | Deborah Michelle Kiesewetter | Behavior Technician | 8306 S Water Oak Dr, West Jordan, UT 84081-1829 | 2019-02-20 |
| Find all providers in WEST JORDAN | ||||
| City | WEST JORDAN |
| Zip Code | 84081 |
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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.