TERESA DE JESUS HERNANDEZ (NPI# 1861987919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861987919 |
| Entity Type | Individual |
| Full Name | TERESA DE JESUS HERNANDEZ |
| Practice Address |
780 S Guardsman Way Salt Lake City UT 84108-1374 |
| Mailing Address |
861 W 600 S Salt Lake City UT 84104-1322 |
| Practice Telephone | 8015810194 |
| Mailing Telephone | 8015584783 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 861 W 600 S, Salt Lake City, UT 841041322 | 8015584783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1083665731 | Teresa E Hernandez | Social Worker | 215 S Santa Fe Ave, Suite 102, Salina, KS 67401-3980 | 2006-05-15 |
| 1043217763 | Teresa Hernandez | Family Medicine | 1182 Ocean Shore Blvd, Ormond Beach, FL 32176-3799 | 2005-07-07 |
| 1730665076 | Teresa Hernandez | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2018-07-18 |
| 1407242936 | Teresa Hernandez | Social Worker | 1954 W Mariposa Pkwy, Wheatland, WY 82201-3102 | 2015-04-10 |
| 1265841118 | Teresa Ellain Hernandez | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2014-08-05 |
| 1760805873 | Teresa Hernandez | Rehabilitation Counselor | 202 N 8th St, El Centro, CA 92243-2302 | 2014-01-24 |
| 1205174612 | Teresa O Hernandez | Physician Assistant | 307 N Salinas Blvd, Suite B, Donna, TX 78537-2929 | 2013-01-18 |
| 1417000977 | Teresa Marie Hernandez | Prosthetic/Orthotic Supplier | 172 Commercial Sq, Slidell, LA 70461-5418 | 2007-01-19 |
| 1487715942 | Teresa A Hernandez | Social Worker | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2006-12-12 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1891395422 | Sam Burk Clark | Behavior Technician | 515 S. 700 E, Suite 2a, Salt Lake City, UT 84102-2142 | 2020-11-01 |
| 1235738121 | Jacob Craig Chandler | Behavior Technician | 1253 E 200 S, Salt Lake City, UT 84102-2601 | 2020-10-21 |
| 1194323709 | Cidney Judkins | Behavior Technician | 2267 E 6720 S, Salt Lake City, UT 84121-3221 | 2020-10-15 |
| 1174130678 | Hannah Clare Hebertson | Behavior Technician | 1258 E Wood Ave, Salt Lake City, UT 84105-2516 | 2020-09-29 |
| 1881200210 | Christina Paries | Behavior Technician | 318 S 600 E Apt 4, Salt Lake City, UT 84102-4020 | 2020-09-21 |
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1437776564 | Nataly A Welch | Behavior Technician | 505 S 900 W, Salt Lake City, UT 84104-1302 | 2020-07-06 |
| 1992328835 | Danielle Elizabeth Jones | Behavior Technician | 2767 S Filmore St, Salt Lake City, UT 84106-3544 | 2020-05-27 |
| 1114551025 | Tina Marie Williamson | Behavior Technician | 515 S 700 E Ste A, Salt Lake City, UT 84102-2801 | 2020-02-29 |
| 1619517042 | Kischel Mary Sutton | Behavior Technician | 515 S 700 E Ste 2, Salt Lake City, UT 84102-2801 | 2020-01-14 |
| 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.