MR. TREVOR D SMITH (NPI# 1346854627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346854627 |
| Entity Type | Individual |
| Full Name | MR. TREVOR D SMITH |
| Practice Address |
7434 S State St Midvale UT 84047-2014 |
| Practice Telephone | 8014569955 |
| Mailing Telephone | 8014569955 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7434 S State St, Midvale, UT 840472014 | 8014569955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821573718 | Trevor Paul Smith | Physician Assistant | 32406 Coast Hwy, Laguna Beach, CA 92651-6783 | 2018-09-26 |
| 1891223954 | Trevor Graham Smith | Psychiatry & Neurology | 7924 Breakwater Dr, New Orleans, LA 70124-1614 | 2017-06-01 |
| 1376957043 | Trevor Alan Smith | Ophthalmology | 5300 Gateway Ctr, Flint, MI 48507-3930 | 2014-06-20 |
| 1174957526 | Trevor Ericson Smith | Nurse Practitioner | 218 Nonaville Rd, Mount Juliet, TN 37122-5097 | 2013-08-21 |
| 1801173778 | Trevor Wright Smith | Specialist/Technologist | 1813 Marlene Dr, Euless, TX 76040-4813 | 2011-11-07 |
| 1619289956 | Trevor Hamilton Smith | Dentist | 4725 Mcknight Rd Ste 211, Pittsburgh, PA 15237 | 2010-07-01 |
| 1235392770 | Trevor Parker Smith | Dentist | 1411 Falls Ave E Ste 1000c, Twin Falls, ID 83301-3459 | 2008-07-03 |
| 1831267855 | Trevor Heyward Smith | Social Worker | 374 Lawn St, Pittsburgh, PA 15213-4214 | 2006-11-30 |
| 1659909240 | Trevor Smith | Internal Medicine | 500 W Fort St # 111r, Boise, ID 83702-4599 | 2020-03-30 |
| 1962965012 | Trevor Wayne Smith | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2019-04-07 |
| Street Address |
7434 S STATE ST |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043296601 | Dean M Kennington | Social Worker | 7434 S State St, Midvale, UT 84047-2014 | 2005-12-15 |
| 1881294296 | Lindsey Cockerton | Behavioral Analyst | 7434 S State St, Midvale, UT 84047-2014 | 2020-10-27 |
| 1750992384 | Smoki Suckla | Behavioral Analyst | 7434 S State St, Midvale, UT 84047-2014 | 2020-08-17 |
| 1750993382 | Bre Bronson | Behavior Technician | 7434 S State St, Midvale, UT 84047-2014 | 2020-08-17 |
| 1972128551 | Jacqueline Shawver | Behavior Technician | 7434 S State St, Midvale, UT 84047-2014 | 2020-06-10 |
| 1992320642 | Crystal Leigh Jimenez | Behavioral Analyst | 7434 S State St, Midvale, UT 84047-2014 | 2020-06-09 |
| 1417571803 | Savannah Hakes | Behavior Technician | 7434 S State St, Midvale, UT 84047-2014 | 2020-06-02 |
| 1972125383 | Madeleine Michelle Cottle | Behavioral Analyst | 7434 S State St, Midvale, UT 84047-2014 | 2020-05-08 |
| 1962024372 | Jenikka Brady | Behavior Technician | 7434 S State St, Midvale, UT 84047-2014 | 2020-05-08 |
| 1194364471 | Oscar Ulysses Barbosa | Behavior Technician | 7434 S State St, Midvale, UT 84047-2014 | 2020-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| 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 |
|---|---|---|---|---|
| 1528620341 | Torrie N Gates-lawrence | Behavior Technician | 51 E 7615 S Unit Up, Midvale, UT 84047-2628 | 2019-07-01 |
| 1801355128 | Mckenzi Jean Jenkins | Behavior Technician | 929 E Well Spring Rd Apt 25e, Midvale, UT 84047-5007 | 2019-03-16 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1750993382 | Bre Bronson | Behavior Technician | 7434 S State St, Midvale, UT 84047-2014 | 2020-08-17 |
| 1972128551 | Jacqueline Shawver | Behavior Technician | 7434 S State St, Midvale, UT 84047-2014 | 2020-06-10 |
| 1417571803 | Savannah Hakes | Behavior Technician | 7434 S State St, Midvale, UT 84047-2014 | 2020-06-02 |
| 1962024372 | Jenikka Brady | Behavior Technician | 7434 S State St, Midvale, UT 84047-2014 | 2020-05-08 |
| 1194364471 | Oscar Ulysses Barbosa | Behavior Technician | 7434 S State St, Midvale, UT 84047-2014 | 2020-01-03 |
| 1629612783 | Josh Gordon Roundy | Behavior Technician | 7434 S State St, Midvale, UT 84047-2014 | 2019-11-01 |
| 1750938361 | Parker James Wininger | Behavior Technician | 7434 S State St, Midvale, UT 84047-2014 | 2019-08-20 |
| Find all providers in MIDVALE | ||||
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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.