MEGAN FIETKAU (NPI# 1306365788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306365788 |
| Entity Type | Individual |
| Full Name | MEGAN FIETKAU |
| Practice Address |
475 West 260 North Orem UT 84057 |
| Mailing Address |
475 W 260 N Orem UT 84057-1970 |
| Practice Telephone | 8012219930 |
| Enumeration Date | 2017-09-16 |
| Last Update Date | 2017-09-16 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1396085718 | 05 |
| Street Address |
475 WEST 260 NORTH |
| City | OREM |
| State | UT |
| Zip Code | 84057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851811160 | Jessie Carlson | Behavior Technician | 475 West 260 North, Orem, UT 84057 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| 1790321842 | Nicole Rose Mcdougal | Speech-Language Pathologist | 527 400 N, Ste 2, Orem, UT 84057 | 2019-11-25 |
| 1871151837 | Robert B Fujiki | Speech-Language Pathologist | 1935 N90 W, Orem, UT 84057 | 2019-06-04 |
| 1669965562 | Brian Quigley Inc. | Hearing Instrument Specialist | 895 West Center Street, Orem, UT 84057 | 2018-06-14 |
| 1568960250 | Catherine Collins | Nurse Practitioner | 700 W. 800 N., Suite 220, Orem, UT 84057 | 2018-01-27 |
| 1821596073 | Venice Lucia Wilkes | Physician Assistant | 700 W 800 N # 220, Orem, UT 84057 | 2018-01-23 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
| 1073930855 | Damon P. Swenson | Dentist | 1643 N. State St., Orem, UT 84057 | 2014-03-18 |
| Find all providers in zip 84057 | ||||
| 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 |
| Find all providers in OREM | ||||
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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.