MADALENE ROSE SANDBERG (NPI# 1073164034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073164034 |
| Entity Type | Individual |
| Full Name | MADALENE ROSE SANDBERG |
| Practice Address |
1111 S 1350 W Orem UT 84058-3817 |
| Mailing Address |
211 N 680 E Vineyard UT 84059-5703 |
| Practice Telephone | 8019354171 |
| Mailing Telephone | 4358624970 |
| Enumeration Date | 2019-09-21 |
| Last Update Date | 2019-09-21 |
| 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 |
| Street Address |
1111 S 1350 W |
| City | OREM |
| State | UT |
| Zip Code | 84058-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033655469 | Cassie Ann Sorenson | Behavioral Analyst | 1111 S 1350 W, Orem, UT 84058-3817 | 2017-01-09 |
| 1922612183 | Morgan Paige Mcdonough | Behavior Technician | 1111 S 1350 W, Orem, UT 84058-3817 | 2020-09-04 |
| 1750947206 | Rachel R Thorpe | Behavior Technician | 1111 S 1350 W, Orem, UT 84058-3817 | 2019-05-09 |
| 1598329161 | Olivia Benshoff | Behavior Technician | 1111 S 1350 W, Orem, UT 84058-3817 | 2019-04-29 |
| 1558824037 | Hannah Violet Smith | Behavior Technician | 1111 S 1350 W, Orem, UT 84058-3817 | 2019-04-10 |
| 1245793827 | Ashlyn Louise Deem | Behavior Technician | 1111 S 1350 W, Orem, UT 84058-3817 | 2019-04-10 |
| 1851854715 | Emma Nicole Teasdale | Behavior Technician | 1111 S 1350 W, Orem, UT 84058-3817 | 2019-04-08 |
| 1356803449 | Mark Lee | Behavior Technician | 1111 S 1350 W, Orem, UT 84058-3817 | 2019-04-05 |
| 1467914978 | Rachel Engstrom | Behavioral Analyst | 1111 S 1350 W, Orem, UT 84058-3817 | 2019-04-03 |
| 1609336130 | Sarah Woodland | Behavior Technician | 1111 S 1350 W, Orem, UT 84058-3817 | 2019-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
| 1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
| 1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
| 1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
| 1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
| 1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
| 1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
| 1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
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| 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 |
|---|---|---|---|---|
| 1104427723 | Tad Wesley Jacobs | Behavior Technician | 1250 S 620 W # E1050, Orem, UT 84058-3326 | 2020-11-02 |
| 1588263974 | Olivia Johnson | Behavior Technician | 1140 W 1390 S, Orem, UT 84058-2278 | 2020-10-18 |
| 1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
| 1578179933 | Beulah Joy Russell | Behavior Technician | 1051 N 220 W Apt L1051, Orem, UT 84057-5810 | 2020-09-21 |
| 1609485978 | Kelly Mae Vail | Behavior Technician | 1140 W 1130 S Building B, Orem, UT 84058-2888 | 2020-07-23 |
| 1659991115 | Anaelia Call | Behavior Technician | 1140 W. 1130 S. Building B., Orem, UT 84058-8405 | 2020-04-24 |
| 1336768449 | Cameron Corry Asay | Behavior Technician | 1140 W. 1130 S. Building B, Orem, UT 84058-2888 | 2020-04-09 |
| 1366077208 | Sarah Vang | Behavior Technician | 908 W 260 S, Orem, UT 84058-4202 | 2020-03-11 |
| 1164073177 | Guy Thomas Brewer | Behavior Technician | 1140 W 1130 S, Building B, Orem, UT 84058-2888 | 2019-09-23 |
| 1184274417 | Dilan Andres Johnston | Behavior Technician | 1140 West 1130 South, Building B, Orem, UT 84058-2888 | 2019-09-18 |
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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.