CAMILLA TESS ISRAELSEN (NPI# 1407313794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407313794 |
| Entity Type | Individual |
| Full Name | CAMILLA TESS ISRAELSEN |
| Practice Address |
643 E 380 N Vineyard UT 84059-5728 |
| Practice Telephone | 8018034244 |
| Mailing Telephone | 8018034244 |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | UT | Behavioral Health & Social Service Providers |
| Street Address |
643 E 380 N |
| City | VINEYARD |
| State | UT |
| Zip Code | 84059-5728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162295 | Mary Kathryn Ann Larson | Nurse Practitioner | 976 S 1925 W, Orem, UT 84059-2306 | 2020-07-28 |
| 1649879347 | Trevor Gatenby | Assistant, Podiatric | 247 E Zinfandel Ln, Vineyard, UT 84059-2630 | 2020-10-22 |
| 1356812820 | Priority Emergency Response Systems | Emergency Response System Companies | 1771 W 850 S, Orem, UT 84059-4925 | 2018-12-10 |
| 1740839844 | Miryam Millie Harper | Registered Nurse | 552 E Rue De Matth, Vineyard, UT 84059-5124 | 2019-09-11 |
| 1154978724 | Rebecca Davis | Dietitian, Registered | 83 N English Rd, Vineyard, UT 84059-5645 | 2019-08-19 |
| 1598386856 | David Wilson | Pharmacist | 192 S Dry Creek Ln, Vineyard, UT 84059-5680 | 2020-04-28 |
| 1952959298 | Klarysa Thompson | Nurse Practitioner | 29 E Silver Oak Rd, Vineyard, UT 84059-5683 | 2019-08-29 |
| 1972128973 | Xavier A Pierce | Student in an Organized Health Care Education/Training Program | 35 S Sterling Way, Vineyard, UT 84059-5685 | 2020-06-15 |
| 1326690017 | Vineyard Heights Dental LLC | Dentist | 707 E Mill Rd Ste 302, Vineyard, UT 84059-5729 | 2019-07-12 |
| 1891394631 | Vineyard Oral and Maxillofacial Surgery | Dentist | 707 E Mill Rd Ste 102, Vineyard, UT 84059-5732 | 2020-10-22 |
| Find all providers in zip 84059 | ||||
| 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 |
|---|---|---|---|---|
| 1497356141 | Kelsey Reynolds | Behavior Technician | 3432 E Oakledge Rd, Cottonwood Heights, UT 84121-5819 | 2020-11-07 |
| 1518568344 | Savanah Gibb | Behavior Technician | 3180 Mount Lomond Dr, North Ogden, UT 84414-1917 | 2020-11-06 |
| 1679174486 | Kaylie Cevering | Behavior Technician | 2955 N 400 W Apt 1162, Layton, UT 84041-5421 | 2020-11-06 |
| 1609477447 | Skyler Claraence Farmer | Behavior Technician | 645 Swenson Ave Apt 6, Springville, UT 84663-2563 | 2020-11-06 |
| 1881295103 | Riley L Andrus | Behavior Technician | 6190 S. Highland Drive, Cottonwood Heights, UT 84121-8412 | 2020-11-03 |
| 1649871112 | Michael Mcilrath | Behavior Technician | 8913 N Suffolk Ln, Eagle Mountain, UT 84005-4457 | 2020-11-02 |
| 1104427723 | Tad Wesley Jacobs | Behavior Technician | 1250 S 620 W # E1050, Orem, UT 84058-3326 | 2020-11-02 |
| 1083215644 | Tamara Moultrie | Behavior Technician | 2940 N Church St Ste 2a, Layton, UT 84040-6614 | 2020-11-02 |
| 1891395422 | Sam Burk Clark | Behavior Technician | 515 S. 700 E, Suite 2a, Salt Lake City, UT 84102-2142 | 2020-11-01 |
| 1295335875 | Elizabeth Craig | Behavior Technician | 2941 W 3500 N, Farr West, UT 84404-8607 | 2020-10-31 |
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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.