MICHELE SHIELDS (NPI# 1114418761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114418761 |
| Entity Type | Individual |
| Full Name | MICHELE SHIELDS |
| Practice Address |
358 S 700 E Ste B307 Salt Lake City UT 84102-2161 |
| Practice Telephone | 8019355796 |
| Mailing Telephone | 8019355796 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 106500000X | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679936108 | Michele R Shields | Licensed Practical Nurse | 311 Martin Luther King Dr E, Cincinnati, OH 45219-2581 | 2016-04-01 |
| Street Address |
358 S 700 E STE B307 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-2161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669874350 | Sara Kay Fawson | Counselor | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2014-09-24 |
| 1073179651 | Brenna Lawson | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-05-19 |
| 1467917906 | Tanner Wray Padbury | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-02-08 |
| 1457816076 | Nathan Leishman | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-02-07 |
| 1407311319 | Benjamin Wear | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-02-05 |
| 1881159861 | Kierstin Strong | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-02-05 |
| 1255896239 | Bethany Lovelady | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-02-05 |
| 1639634603 | Amber E Lewis | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-02-04 |
| 1669937637 | Jamie Anne Lund | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-02-04 |
| 1841755899 | Jared Moffett | Behavior Technician | 358 S 700 E Ste B307, Salt Lake City, UT 84102-2161 | 2019-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1043795040 | Brenna Lyn Wagner | Assistant Behavior Analyst | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2018-09-26 |
| 1235618547 | Mccall Wyn Kirby | Assistant Behavior Analyst | 51 W 3900 S, Salt Lake City, UT 84107-1431 | 2018-08-08 |
| 1801380209 | Nathan Dylan Underwood | Assistant Behavior Analyst | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2018-06-19 |
| 1639661622 | Kelli Voylynn Bassett | Assistant Behavior Analyst | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2018-06-05 |
| 1881186138 | Emily Ann Andrus | Assistant Behavior Analyst | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2018-06-02 |
| 1497247886 | Courtney Hannah Cunningham | Assistant Behavior Analyst | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2018-06-01 |
| 1295225902 | Abagayle Layne Dixon | Assistant Behavior Analyst | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2018-05-17 |
| 1467942193 | Heidi Mcdonald | Assistant Behavior Analyst | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2018-05-17 |
| 1063909307 | Jonathon Thomas | Assistant Behavior Analyst | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2018-04-20 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
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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.