MADISON SPENDLOVE BODILY (NPI# 1770090722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770090722 |
Entity Type | Individual |
Full Name | MADISON SPENDLOVE BODILY |
Practice Address |
2940 N Church St Ste 303 Layton UT 84040-6617 |
Mailing Address |
515 S 700 E Ste 2a Salt Lake City UT 84102-2855 |
Practice Telephone | 8019354171 |
Mailing Telephone | 8019354171 |
Enumeration Date | 2017-12-29 |
Last Update Date | 2019-11-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 11506292-2507 | UT | Behavioral Health & Social Service Providers |
N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2940 N Church St, Layton, UT 840406614 | 8019354171 | |
515 S 700 E Ste 2a, Salt Lake City, UT 841022855 | 8019354171 |
Street Address |
2940 N CHURCH ST STE 303 |
City | LAYTON |
State | UT |
Zip Code | 84040-6617 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508276114 | Christa Janae Hayes | Behavioral Analyst | 2940 N Church St Ste 303, Layton, UT 84040-6617 | 2014-05-05 |
1417558156 | Renalie Labarda | Behavior Technician | 2940 N Church St Ste 303, Layton, UT 84040-6617 | 2020-11-07 |
1477154797 | Wyatt Walton | Behavior Technician | 2940 N Church St Ste 303, Layton, UT 84040-6617 | 2020-11-03 |
1396346979 | Nicolette Delair | Behavior Technician | 2940 N Church St Ste 303, Layton, UT 84040-6617 | 2020-11-02 |
1215538830 | Jenaya Ashlee Cue | Behavior Technician | 2940 N Church St Ste 303, Layton, UT 84040-6617 | 2020-11-02 |
1871192302 | Reckell Calhoun | Behavior Technician | 2940 N Church St Ste 303, Layton, UT 84040-6617 | 2020-10-26 |
1881293405 | Kaitlin Cooper | Behavior Technician | 2940 N Church St Ste 303, Layton, UT 84040-6617 | 2020-10-23 |
1942809298 | Delaney Marie Crane | Behavior Technician | 2940 N Church St Ste 303, Layton, UT 84040-6617 | 2020-10-19 |
1700484045 | Michaela Merrill | Behavior Technician | 2940 N Church St Ste 303, Layton, UT 84040-6617 | 2020-10-09 |
1912504697 | Nicholas T Clay | Behavior Technician | 2940 N Church St Ste 303, Layton, UT 84040-6617 | 2020-10-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410947 | Creek Dental Group Meadowbrook LLC | Dentist | 1148 E Ut-193, Layton, UT 84040 | 2020-09-08 |
1902417629 | Christopher Luis Perez | Behavior Technician | 2940 Church Street, Suite 303, Layton, Davis, UT 84040 | 2020-08-14 |
1851939011 | Shaunell Young | Counselor | 2264 N 2650 E, 2264 N 2650 E, Layton, UT 84040 | 2019-12-18 |
1568929875 | Cassie Marie Decker | Behavior Technician | 2935 N 935 E, Layton, UT 84040 | 2019-02-22 |
1174035257 | Emily Reed | Behavior Technician | 935 E 2985 N, Layton, UT 84040 | 2017-10-30 |
1679008122 | Christopher Valdez | Behavior Technician | 935 East 2985 North, Layton, UT 84040 | 2017-04-21 |
1194175463 | Halie Checketts | Behavior Technician | 935 E 2985 S, Layton, UT 84040 | 2016-06-17 |
1609231125 | Katherine Pike Macias | Speech-Language Pathologist | 201 W Latyon Parkway, Layton, UT 84040 | 2015-12-28 |
1891164752 | Katherine Dean Turek | Social Worker | 476 West Heritage Park Blvd, Suite 220, Layton, UT 84040 | 2015-09-22 |
1790152189 | Alma Discuillo | Behavior Technician | 2490 N Church St, Layton, UT 84040 | 2015-09-01 |
Find all providers in zip 84040 |
Taxonomy Code | 106E00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Assistant Behavior Analyst |
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
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 |
---|---|---|---|---|
1063973626 | Courtney Beckstrand Stewart | Assistant Behavior Analyst | 2940 N Church St Ste 303, Layton, UT 84040 | 2019-03-27 |
1881100477 | Brigitte Ferguson | Assistant Behavior Analyst | 207 E Gordon Ave Ste 4, Layton, UT 84041-2375 | 2017-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184247066 | Alexus Marie Touhuni I | Assistant Behavior Analyst | 3576 S Park Dale Ct # Qt, West Valley, UT 84120-7904 | 2020-05-26 |
1932668654 | Anne Simmons | Assistant Behavior Analyst | 10336 S Temple View Cir, South Jordan, UT 84095-8922 | 2019-03-13 |
1093209934 | Haley Brooke Shields | Assistant Behavior Analyst | 4098 W Teton Estates Dr, West Jordan, UT 84088-6337 | 2018-06-14 |
1699295220 | Jennifer Ann Mosher | Assistant Behavior Analyst | 415 Medical Dr # D301, Bountiful, UT 84010-4946 | 2017-06-24 |
1801322367 | Mallory Hendrickson | Assistant Behavior Analyst | 744 E 1650 S, Orem, UT 84097 | 2017-05-03 |
1508315953 | Helon Murphy | Assistant Behavior Analyst | 1448 W Anthony Cir, Slc, UT 84104-3437 | 2016-09-27 |
1225674872 | Ifan Cassandra Poulsen | Assistant Behavior Analyst | 6910 S Highland Dr Ste 1, Cottonwood Heights, UT 84121-3061 | 2019-11-19 |
1043795040 | Brenna Lyn Wagner | Assistant Behavior Analyst | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2018-09-26 |
1235618547 | Mccall Wyn Kirby | Assistant Behavior Analyst | 51 W 3900 S, Salt Lake City, UT 84107-1431 | 2018-08-08 |
1952889271 | Viridiana Rodriguez | Assistant Behavior Analyst | 4062 W Shady Plum Way, South Jordan, UT 84009-3908 | 2018-07-30 |
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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.