COURTNEY ARLENE KENNEDY (NPI# 1073140976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073140976 |
| Entity Type | Individual |
| Full Name | COURTNEY ARLENE KENNEDY |
| Credential | BCBA |
| Practice Address |
6910 S Highland Dr Cottonwood Heights UT 84121-3060 |
| Mailing Address |
892 E Canyon Ridge Way Apt 11 Midvale UT 84047-4446 |
| Practice Telephone | 2092758281 |
| Mailing Telephone | 2092758281 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-20-41989 | UT | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | RBT-1873084 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871077313 | Courtney Kennedy | Technician, Other | 3100 Premier Dr Ste 234, Irving, TX 75063-2693 | 2018-09-20 |
| 1265765598 | Courtney E. Kennedy | Physician Assistant | 69 Sand Pit Rd, Suite 300, Danbury, CT 06810-4088 | 2009-09-18 |
| Street Address |
6910 S HIGHLAND DR |
| City | COTTONWOOD HEIGHTS |
| State | UT |
| Zip Code | 84121-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649682949 | Jackqueline Noel Tabara | Behavioral Analyst | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2014-05-21 |
| 1619578598 | Mckay Dianne Miller | Behavior Technician | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2020-11-05 |
| 1356942791 | Merry Feng | Behavior Technician | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2020-11-03 |
| 1235744475 | Josie N Giles | Behavior Technician | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2020-09-14 |
| 1952916199 | Benjamin James Marden | Behavior Technician | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2020-09-14 |
| 1376157511 | Cassie Knight | Behavior Technician | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2020-09-04 |
| 1386258036 | Polohiva Folaumahina | Behavior Technician | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2020-09-01 |
| 1497368047 | Betty Flomo | Behavior Technician | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2020-08-24 |
| 1376156000 | Joseph Alexander Louiselle | Behavior Technician | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2020-08-24 |
| 1083226815 | Jennie R Clement | Behavior Technician | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2020-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881118784 | Mary E Mattingly | Behavioral Analyst | 6910 S Highland Dr Ste 1, Cottonwood Heights, UT 84121-3061 | 2017-08-01 |
| 1326590886 | Rachel Mortimer Taylor | Behavioral Analyst | 1441 E Ft Union Blvd, Cottonwood Heights, UT 84121-2847 | 2016-11-01 |
| 1649682949 | Jackqueline Noel Tabara | Behavioral Analyst | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2014-05-21 |
| 1699301432 | Courtnee Nadine Malan | Behavioral Analyst | 1441 E Ft Union Blvd, Cottonwood Heights, UT 84121-2847 | 2020-03-12 |
| 1720612427 | Diana Smith | Behavioral Analyst | 1441 E Ft Union Blvd, Cottonwood Heights, UT 84121-2847 | 2020-03-03 |
| 1528690294 | Kathryn Northup | Behavioral Analyst | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2020-02-10 |
| 1851934889 | Charissa Devlin | Behavioral Analyst | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2019-10-22 |
| 1578118899 | Alexandra Marie Makowski | Behavioral Analyst | 6910 S Highland Dr Ste 1, Cottonwood Heights, UT 84121-3061 | 2019-08-04 |
| 1083275945 | Tori Chrupalo | Behavioral Analyst | 1441 E Ft Union Blvd, Cottonwood Heights, UT 84121-2847 | 2019-06-21 |
| 1164965737 | Heather Meier | Behavioral Analyst | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2016-11-29 |
| Find all providers in COTTONWOOD HEIGHTS | ||||
| City | COTTONWOOD HEIGHTS |
| Zip Code | 84121 |
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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.