TAMARA MOULTRIE (NPI# 1083215644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083215644 |
| Entity Type | Individual |
| Full Name | TAMARA MOULTRIE |
| Practice Address |
2940 N Church St Ste 2a Layton UT 84040-6614 |
| Mailing Address |
835 E 300 N Brigham City UT 84302-1940 |
| Practice Telephone | 3852278653 |
| Mailing Telephone | 3852898055 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| 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 |
2940 N CHURCH ST STE 2A |
| City | LAYTON |
| State | UT |
| Zip Code | 84040-6614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410947 | Creek Dental Group Meadowbrook LLC | Dentist | 1148 E Ut-193, Layton, UT 84040 | 2020-09-08 |
| 1902417629 | Christopher Luis Perez | Behavior Technician | 2940 Church Street, Suite 303, Layton, Davis, UT 84040 | 2020-08-14 |
| 1851939011 | Shaunell Young | Counselor | 2264 N 2650 E, 2264 N 2650 E, Layton, UT 84040 | 2019-12-18 |
| 1568929875 | Cassie Marie Decker | Behavior Technician | 2935 N 935 E, Layton, UT 84040 | 2019-02-22 |
| 1174035257 | Emily Reed | Behavior Technician | 935 E 2985 N, Layton, UT 84040 | 2017-10-30 |
| 1679008122 | Christopher Valdez | Behavior Technician | 935 East 2985 North, Layton, UT 84040 | 2017-04-21 |
| 1194175463 | Halie Checketts | Behavior Technician | 935 E 2985 S, Layton, UT 84040 | 2016-06-17 |
| 1609231125 | Katherine Pike Macias | Speech-Language Pathologist | 201 W Latyon Parkway, Layton, UT 84040 | 2015-12-28 |
| 1891164752 | Katherine Dean Turek | Social Worker | 476 West Heritage Park Blvd, Suite 220, Layton, UT 84040 | 2015-09-22 |
| 1790152189 | Alma Discuillo | Behavior Technician | 2490 N Church St, Layton, UT 84040 | 2015-09-01 |
| Find all providers in zip 84040 | ||||
| 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 |
|---|---|---|---|---|
| 1679174486 | Kaylie Cevering | Behavior Technician | 2955 N 400 W Apt 1162, Layton, UT 84041-5421 | 2020-11-06 |
| 1063011419 | Adam Michael Demille | Behavior Technician | 2940 Church St Suite 303, Layton, UT 84040-6515 | 2020-10-17 |
| 1215541172 | Kathryn Brooke Greeson | Behavior Technician | 1600 N 1575 W Apt H106, Layton, UT 84041-5519 | 2020-09-08 |
| 1407466683 | Kayden Louis Golightly | Behavior Technician | 1044 W 400 S, Layton, UT 84041-5235 | 2020-08-03 |
| 1659980274 | Lindsey Jordan Bristow | Behavior Technician | 327 W Gordon Ave, Layton, UT 84041-2377 | 2020-07-29 |
| 1801417803 | Holli Durfee | Behavior Technician | 209 E Gordon Ave Ste 4, Layton, UT 84041-2357 | 2020-04-30 |
| 1366004400 | Courtney Cook | Behavior Technician | 2152 Summerwood Dr, Layton, UT 84040-3105 | 2019-06-28 |
| 1235690686 | Rebecca Bradshaw | Behavior Technician | 1784 E 1150 N, Layton, UT 84040-7712 | 2019-03-28 |
| 1568929875 | Cassie Marie Decker | Behavior Technician | 2935 N 935 E, Layton, UT 84040 | 2019-02-22 |
| 1902303381 | Brittany Carroll | Behavior Technician | 207 E Gordon Ave Ste 1, Layton, UT 84041-2375 | 2018-04-11 |
| Find all providers in LAYTON | ||||
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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.