AMY MICHELLE TIKALSKY (NPI# 1710436019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710436019 |
| Entity Type | Individual |
| Full Name | AMY MICHELLE TIKALSKY |
| Practice Address |
321 N Mall Dr Suite E102 St George UT 84790-7302 |
| Mailing Address |
351 S 500 W Cedar City UT 84720-3121 |
| Practice Telephone | 8019108071 |
| Mailing Telephone | 8019108071 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-16-20935 | UT | Behavioral Health & Social Service Providers |
| Street Address |
321 N MALL DR SUITE E102 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-7302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437258480 | Darren Boyd Earl | Dentist | 321 N Mall Dr, # F102, St George, UT 84790 | 2006-09-22 |
| 1619537503 | Grant Pemberton | Counselor | 321 N Mall Dr, St George, UT 84790-7302 | 2019-06-13 |
| 1467925883 | Saskia Ann Stallings | Counselor | 321 N Mall Dr, St George, UT 84790-7302 | 2019-01-08 |
| 1255815692 | Victoria Kate Graff | Social Worker | 321 N Mall Dr, E 102, St George, UT 84790-7302 | 2018-09-21 |
| 1407308737 | David B Tate Phd LLC | Psychologist | 321 N Mall Dr, Suite I-201, St George, UT 84790-7323 | 2016-11-03 |
| 1215320775 | Dental Center of St. George LLC | Health Maintenance Organization | 321 N Mall Dr, #p101, St George, UT 84790-7302 | 2015-03-09 |
| 1528476421 | David H Jones | Marriage & Family Therapist | 321 N Mall Dr, Vw-103, St George, UT 84790 | 2014-07-24 |
| 1427485101 | Cecilie Ott | Marriage & Family Therapist | 321 N Mall Dr, St George, UT 84790-7302 | 2013-09-26 |
| 1144566654 | Irvin Paul Dunsdon | Massage Therapist | 321 N Mall Dr, Bldg I #102, St George, UT 84790-7302 | 2013-01-02 |
| 1548534043 | Chad A Graff, Ph.d., LLC | Counselor | 321 N Mall Dr, Vw101, St George, UT 84790-7302 | 2012-03-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
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| 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 |
|---|---|---|---|---|
| 1942825716 | Lauren Curry | Behavior Technician | 1722 E 280 N # O, St George, UT 84790-1631 | 2020-06-08 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1225529779 | Elise Adams | Behavior Technician | 1240 E 100 S Ste 7, St George, UT 84790-3072 | 2018-05-21 |
| 1518489665 | Shelbi Lillian Holt | Behavior Technician | 230 N 1680 E Ste A, St George, UT 84790-2574 | 2017-07-11 |
| 1811425309 | Jenae Holt | Behavior Technician | 474 W 200 N # 300, St George, UT 84770-4505 | 2017-05-26 |
| 1578096970 | Kristilyn Gelder | Behavior Technician | 1680 E 230 N, Bldg A, St George, UT 84790 | 2017-04-04 |
| 1619414117 | Jazmine Torres | Behavior Technician | 2265 E 350 N, St George, UT 84790-2427 | 2017-01-23 |
| 1902355118 | Rachael Reid | Behavior Technician | 2985 E 1975 South Cir, St George, UT 84790-5112 | 2016-09-28 |
| 1417591595 | Braedon Watts | Behavior Technician | 249 E Tabernacle St Ste 100, St George, UT 84770-2951 | 2019-11-01 |
| 1932743317 | Bobbie Jo Forsyth | Behavior Technician | 249 E Tabernacle St Ste 100, St George, UT 84770-2951 | 2019-10-29 |
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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.