MICHAEL MCILRATH (NPI# 1649871112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649871112 |
| Entity Type | Individual |
| Full Name | MICHAEL MCILRATH |
| Practice Address |
8913 N Suffolk Ln Eagle Mountain UT 84005-4457 |
| Mailing Address |
515 S 700 E Ste 2a Salt Lake City UT 84102-2855 |
| Practice Telephone | 3852507745 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| 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 |
| Street Address |
8913 N SUFFOLK LN |
| City | EAGLE MOUNTAIN |
| State | UT |
| Zip Code | 84005-4457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922573856 | Eagle Mountain Children's Dentistry Pllc | Clinic/Center | 3435 Pony Express Parkway Ste. 130, Eagle Mountain, UT 84005 | 2018-10-08 |
| 1437650157 | Michael Hogue | Emergency Medical Technician, Basic | 2036 E Harkers Way, Eagle Mountain, UT 84005 | 2018-02-27 |
| 1376050682 | Bell Adult Healthcare and Wellness Pllc | Nurse Practitioner | 4719 E Silver Creek Way, Eagle Mountain, UT 84005 | 2018-01-08 |
| 1891201794 | Breaking Barriers Therapy Services LLC | Speech-Language Pathologist | 3756 E Barton Creek Dr, Eagle Mountain, UT 84005 | 2017-12-14 |
| 1346770617 | Mallory Lynn Hansen | Speech-Language Pathologist | 8981 N Skye Loop, Eagle Mountain, UT 84005 | 2017-06-19 |
| 1609315480 | Pony Express Dental LLC | Clinic/Center | 1308 E. Eagle Mountain Blvd, Eagle Mountain, UT 84005 | 2017-02-14 |
| 1609130418 | Utah Addiction Centers | Substance Abuse Rehabilitation Facility | 2590 Prarie View Drive, Eagle Mountain, UT 84005 | 2012-06-26 |
| 1760763411 | Elizabeth A Pritt | Physician Assistant | 4095 E Pony Express Parkway, Suite 1, Eagle Mountain, UT 84005 | 2011-09-07 |
| 1902101587 | Benjamin Dean Jones | Social Worker | 4682 East Foxwood Drive, Eagle Mountain, UT 84005 | 2011-01-13 |
| 1407182892 | Jacob Chase Fowler | Pharmacist | 3435 E Pony Express Pkwy Ste 150, Eagle Mountain, UT 84005 | 2009-10-20 |
| Find all providers in zip 84005 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1578162194 | Kylie Steenblik | Behavior Technician | 1909 Ridgehill Dr, Bountiful, UT 84010-1022 | 2020-10-24 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE MOUNTAIN |
| Zip Code | 84005 |
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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.