LACEY ANDERSON (NPI# 1609290154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609290154 |
| Entity Type | Individual |
| Full Name | LACEY ANDERSON |
| Credential | BCBA |
| Practice Address |
4058 W Shady Plum Way South Jordan UT 84095-3908 |
| Practice Telephone | 8017353252 |
| Mailing Telephone | 8017353252 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 11312885 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 271872788003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
| 1790290450 | Lacey Snow Anderson | Speech-Language Pathologist | 1901 W 15th St, Edmond, OK 73013-2689 | 2017-12-04 |
| 1801306733 | Lacey Anderson | Psychologist | 4040 N Division St, Morris, IL 60450-9357 | 2017-10-05 |
| 1861872558 | Lacey Jo Anderson | Counselor | 25224 W. Eames St., Channahon, IL 60410-3102 | 2015-06-08 |
| 1346639267 | Lacey Anderson | Nurse Practitioner | 700 Medical Center Dr Ste 210, Newton, KS 67114-9017 | 2015-01-15 |
| 1669093175 | Lacey Renee Anderson | Student in an Organized Health Care Education/Training Program | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-05-06 |
| 1568985943 | Lacey Anderson | Dietitian, Registered | 112 N 7th St, Chambersburg, PA 17201-1720 | 2017-07-18 |
| 1306273461 | Lacey Anderson | Counselor | 2624 9th Ave S, Fargo, ND 58103-2350 | 2013-10-03 |
| 1912153727 | Lacey Dawn Anderson | Counselor | 530 San Pedro Ave, San Antonio, TX 78212-5006 | 2008-08-12 |
| Street Address |
4058 W SHADY PLUM WAY |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447694831 | Parenting Possibilities | Behavioral Analyst | 4058 W Shady Plum Way, South Jordan, UT 84095-3908 | 2013-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609273051 | Lindsey Tirmenstein | Behavioral Analyst | 4062 W Shady Plum Way, South Jordan, UT 84095-3908 | 2014-12-01 |
| 1447694831 | Parenting Possibilities | Behavioral Analyst | 4058 W Shady Plum Way, South Jordan, UT 84095-3908 | 2013-04-29 |
| 1982910212 | David Emerson Keddington | Behavioral Analyst | 9979 Yorkshire Dr, South Jordan, UT 84095-9132 | 2010-08-24 |
| 1588196992 | Krystal Potter | Behavioral Analyst | 4062 W Shady Plum Way, South Jordan, UT 84009-3908 | 2017-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649013 | Torrey Lyn Larisch | Behavioral Analyst | 1722 E 280 N # 84790, St George, UT 84790-1631 | 2020-11-08 |
| 1376144022 | Balance In Behavior | Behavioral Analyst | 283 E 300 S, Centerville, UT 84014-2258 | 2020-11-07 |
| 1972101657 | Fabian House | Behavioral Analyst | 3118 N 1200 W, Lehi, UT 84043-7462 | 2020-10-14 |
| 1659985521 | Adrianna Hall | Behavioral Analyst | 1219 E Emerson Ave, Salt Lake City, UT 84105-2529 | 2020-09-08 |
| 1790397115 | Sierra Jade Cole Arrant | Behavioral Analyst | 270 W 800 S, Richfield, UT 84701-2839 | 2020-08-18 |
| 1033727664 | Elisa Nataly Mendoza | Behavioral Analyst | 532 W 1550 N, Lehi, UT 84043-2884 | 2020-07-20 |
| 1518589670 | Neurosuccess, Inc | Behavioral Analyst | 331 E 200 S, Clearfield, UT 84015-1007 | 2020-05-12 |
| 1528692472 | Christine Manning | Behavioral Analyst | 2025 S 50 W, Bountiful, UT 84010-5559 | 2020-03-01 |
| 1699305268 | Melanie Smith | Behavioral Analyst | 230 N 1680 E Ste U1, St George, UT 84790-2571 | 2020-01-22 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
Please comment or provide details below to improve the information on LACEY ANDERSON.
| 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.