KRISTIN NELSON (NPI# 1831451970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831451970 |
| Entity Type | Individual |
| Full Name | KRISTIN NELSON |
| Practice Address |
415 Medical Dr Ste D101 Bountiful UT 84010-8905 |
| Mailing Address |
415 Medical Dr D101 Bountiful UT 84010 |
| Practice Telephone | 8016831062 |
| Mailing Telephone | (801) 683-1062 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5965 S 900 E, Salt Lake City, UT 841211720 | 8012637100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205211513 | Kristin Nelson | Specialist | 901 Babcock Blvd E, Delano, MN 55328-8600 | 2015-07-28 |
| 1689923005 | Kristin Noel Nelson | Speech-Language Pathologist | 48 Dally Ln, Buffalo, WY 82834-9491 | 2012-08-30 |
| 1225341191 | Kristin Wunker Nelson | Physician Assistant | 1890 Lpga Blvd Ste 250, Daytona Beach, FL 32117-7131 | 2010-07-21 |
| 1174642987 | Kristin Nelson | Occupational Therapy Assistant | 427 N Phillips St, Seaford, DE 19973-2305 | 2007-03-29 |
| 1144389636 | Kristin Ann Nelson | Dentist | 50 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2006-12-08 |
| 1265539365 | Kristin Ann Nelson | Counselor | 9110 Foxtail Dr, Lincoln, NE 68526-9521 | 2006-09-20 |
| 1447874060 | Kristin Nelson | Optometrist | 120 E Countryside Pkwy, Yorkville, IL 60560-1877 | 2020-05-29 |
| 1053973123 | Kristin Nelson | Student in an Organized Health Care Education/Training Program | 2851 University Ave, Green Bay, WI 54311-5855 | 2019-06-28 |
| 1043778731 | Kristin R Nelson | Pain Medicine | 1044 N Francisco Ave Ste 404, Chicago, IL 60622-2743 | 2019-03-12 |
| 1134604416 | Kristin Nelson | Behavior Technician | 3110 Camino Del Rio S Ste 307, San Diego, CA 92108-3832 | 2018-10-02 |
| Street Address |
415 MEDICAL DR STE D101 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942260401 | Breanna R Nelson | Speech-Language Pathologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2006-03-27 |
| 1114525862 | Candace Ann Abbott | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-14 |
| 1083212930 | Breannen Cohen | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-13 |
| 1376140798 | Laura Alicia Lucky | Counselor | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-08 |
| 1639776693 | Taeko Michelle Colbert | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-02 |
| 1699382887 | Anna L Straup | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-09-30 |
| 1851903983 | Elaina M Grotepas | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-08-19 |
| 1104437110 | Eden Deanne Steffey | Psychologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-08-12 |
| 1891303111 | Molly Murphy Dwyer | Behavioral Analyst | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-07-22 |
| 1972127728 | Benjamin Larsen | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| 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 |
|---|---|---|---|---|
| 1578162194 | Kylie Steenblik | Behavior Technician | 1909 Ridgehill Dr, Bountiful, UT 84010-1022 | 2020-10-24 |
| 1619576030 | Rachel Lynn Hileman | Behavior Technician | 1742 Ridge Point Dr, Bountiful, UT 84010-1055 | 2020-10-19 |
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1649839309 | Cassidy Brooke Ralph | Behavior Technician | 2512 S 450 E, Bountiful, UT 84010-4313 | 2019-06-06 |
| 1669994604 | Ulia Gamble | Behavior Technician | 830 N 500 W Apt 5, Bountiful, UT 84010-6844 | 2017-07-12 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1114525862 | Candace Ann Abbott | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-14 |
| 1083212930 | Breannen Cohen | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-13 |
| 1639776693 | Taeko Michelle Colbert | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-10-02 |
| 1699382887 | Anna L Straup | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-09-30 |
| Find all providers in BOUNTIFUL | ||||
Please comment or provide details below to improve the information on KRISTIN NELSON.
| 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.