NATHAN DYLAN UNDERWOOD (NPI# 1801380209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801380209 |
| Entity Type | Individual |
| Full Name | NATHAN DYLAN UNDERWOOD |
| Practice Address |
780 S Guardsman Way Salt Lake City UT 84108-1374 |
| Mailing Address |
4460 S Highland Dr Salt Lake City UT 84124-3543 |
| Practice Telephone | 5707066917 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
780 S GUARDSMAN WAY |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528312246 | John August Hegerman | Counselor | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2012-11-02 |
| 1093360125 | Jacqueline King | Speech-Language Pathologist | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2019-08-06 |
| 1518431287 | Kimberly Lynn Layton | Community Health Worker | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2019-01-16 |
| 1518431477 | Coleman Moss | Community Health Worker | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2019-01-14 |
| 1023581915 | Nate Cantor | Counselor | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2019-01-03 |
| 1013487438 | Victoria Shaye Mcgann | Community Health Worker | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2018-11-28 |
| 1376013797 | Hannah Vogel | Community Health Worker | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2018-11-28 |
| 1265900880 | Breanna Caruso | Community Health Worker | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2018-11-13 |
| 1750859997 | Jericho C Pineda | Community Health Worker | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2018-11-06 |
| 1487120911 | Barbara Navas | Community Health Worker | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2018-10-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| 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 |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 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 |
| 1639661622 | Kelli Voylynn Bassett | Assistant Behavior Analyst | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2018-06-05 |
| 1881186138 | Emily Ann Andrus | Assistant Behavior Analyst | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2018-06-02 |
| 1497247886 | Courtney Hannah Cunningham | Assistant Behavior Analyst | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2018-06-01 |
| 1114418761 | Michele Shields | Assistant Behavior Analyst | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2018-05-18 |
| 1295225902 | Abagayle Layne Dixon | Assistant Behavior Analyst | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2018-05-17 |
| 1467942193 | Heidi Mcdonald | Assistant Behavior Analyst | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2018-05-17 |
| 1063909307 | Jonathon Thomas | Assistant Behavior Analyst | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2018-04-20 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
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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.