JENNIFER ELAINE CLARK (NPI# 1609387745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609387745 |
| Entity Type | Individual |
| Full Name | JENNIFER ELAINE CLARK |
| Practice Address |
13947 S Newburg Dr Herriman UT 84096-6787 |
| Practice Telephone | 8015066695 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |
| 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 | ||
| N | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723038 | Jennifer Michelle Clark | Social Worker | 22 Norva Ave, Frederick, MD 21701-6279 | 2020-06-04 |
| 1982249926 | Jennifer Rae Clark | Nurse Practitioner | 2800 E League City Pkwy Apt 216, League City, TX 77573-1676 | 2019-11-13 |
| 1528546827 | Jennifer Clark | Technician | 59 Forrester St Sw Apt B, Washington, DC 20032-2120 | 2018-07-30 |
| 1265940340 | Jennifer Anne Clark | Counselor | 35 Pulaski Rd, Whitehouse Station, NJ 08889-3516 | 2018-01-11 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1295124899 | Jennifer Clark | Behavioral Analyst | 662 Lake George Dr, Melbourne, FL 32940-2221 | 2015-01-20 |
| 1851707194 | Jennifer Sara Clark | Physical Therapist | 797 Evergreen Dr, West Hempstead, NY 11552-3406 | 2014-07-08 |
| 1083988794 | Jennifer Makiki Clark | Health Educator | 5858 Wilshire Blvd Ste 300, Los Angeles, CA 90036-4509 | 2012-02-27 |
| 1639484520 | Jennifer Ann Clark | Speech-Language Pathologist | 5903 Neptune Dr, Fort Collins, CO 80525-3905 | 2010-08-16 |
| 1245567247 | Jennifer Selleck Clark | Nurse Practitioner | 1840 Martin Luther King Jr Blvd Ste C4, Chapel Hill, NC 27514 | 2009-11-11 |
| Street Address |
13947 S NEWBURG DR |
| City | HERRIMAN |
| State | UT |
| Zip Code | 84096-6787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184166118 | Timothie Jessica Unick | Behavioral Analyst | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2016-11-08 |
| 1174123699 | Maggie Linzey | Behavior Technician | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2020-10-26 |
| 1073111985 | Brooke Johnson | Community Health Worker | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2020-10-13 |
| 1164020343 | Jenny Beus Cazier | Community Health Worker | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2020-10-11 |
| 1912505165 | Megan Hale | Community Health Worker | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2020-10-10 |
| 1750989919 | Erin J Rowbotham | Community Health Worker | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2020-10-10 |
| 1790398204 | Lauren B Duran | Community Health Worker | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2020-08-25 |
| 1003428640 | Tyler Bennink | Community Health Worker | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2020-08-17 |
| 1770104093 | Athena Arkansas | Community Health Worker | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2020-04-27 |
| 1790306017 | Alexandra Valentine Betz | Community Health Worker | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2020-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499249 | Abundant Dental Care, P.C. | Dentist | 5089 West 12600 South, Herriman, UT 84096 | 2019-07-19 |
| 1225563703 | Kristen Haslam | Specialist/Technologist, Other | 13947 S Newburg Dr., Herriman, UT 84096 | 2017-04-21 |
| 1770960452 | Tyler Rolland Petersen | Social Worker | 13351 S Shaunna Lane, Herriman, UT 84096 | 2015-05-01 |
| 1649687948 | Victor Clark | Assisted Living Facility | 6352 W 13100 S, Herriman, UT 84096 | 2014-07-18 |
| 1548539554 | Neck and Back Relief | Chiropractor | 12600 S. 4013 W., Suite E, Riverton, UT 84096 | 2011-12-20 |
| 1114220092 | Sharlene Christensen | Counselor | 13878 S. Ken Cv, Herriman, UT 84096 | 2010-12-14 |
| 1518156991 | Jon Christian Fairbanks | Dentist | 5532 W. Herriman Main Street, #210, Herriman, UT 84096 | 2007-10-22 |
| 1215154232 | Karen Jane Olson | Nurse Practitioner | 13400 S. 5746 W #200, Herriman, UT 84096 | 2007-04-19 |
| 1619022969 | Jeffrey T Lambert | Dentist | 5532 W. Herriman Main St., #210, Herriman, UT 84096 | 2007-01-25 |
| 1578638854 | Stevenson Pediatric Dentistry P.C. | Dentist | 4019 W. 12600 S., Suite 200, Riverton, UT 84096 | 2006-11-21 |
| Find all providers in zip 84096 | ||||
| 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 |
|---|---|---|---|---|
| 1861008229 | Chloe Janice Bigelow | Behavior Technician | 15535 S Rose Canyon Rd, Herriman, UT 84096-4497 | 2020-09-21 |
| 1548819089 | Rachel Bonell | Behavior Technician | 5219 W Mirasol Ln, Herriman, UT 84096-5412 | 2019-09-07 |
| 1144782475 | Dani Lynn Ebright | Behavior Technician | 14483 S Butterfield Park Way, Herriman, UT 84096-3450 | 2019-04-04 |
| 1174123699 | Maggie Linzey | Behavior Technician | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2020-10-26 |
| 1629617964 | Dionne Peck Evans | Behavior Technician | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2020-01-03 |
| 1487123097 | Florencia Nunez | Behavior Technician | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2018-11-14 |
| 1174019483 | Julie May | Behavior Technician | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2018-07-10 |
| 1093207367 | Madison Gubler | Behavior Technician | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2018-06-03 |
| 1679063101 | Alison Mclennan | Behavior Technician | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2018-05-10 |
| 1861981227 | Madison Chandler | Behavior Technician | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2018-05-01 |
| Find all providers in HERRIMAN | ||||
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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.