UTAH STATE UNIVERSITY (NPI# 1629619010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629619010 |
| Entity Type | Organization |
| Organization Name | UTAH STATE UNIVERSITY |
| Practice Address |
6405 Old Main Hill Logan UT 84322-0001 |
| Practice Telephone | 4357970576 |
| Practice Fax Number | 8443085865 |
| Mailing Telephone | 4357970576 |
| Mailing Fax Number | 8443085865 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Authorized Official Name | KATHRYN CLEMENTS (CONTROLLER) |
| Authorized Official Telephone | 4357975830 |
| Is Organization Subpart | Y |
| Parent Organization Name | UTAH STATE UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1447715701 | 05 |
| Other Name | Type Code |
|---|---|
| Sorenson Center Behavior Support Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063679785 | Utah State University | Community/Behavioral Health | 6813 Old Main Hill, Logan, UT 84322-6813 | 2008-05-20 |
| 1811054182 | Utah State University | Respite Care | 809 N 800 E, Logan, UT 84321-3634 | 2007-01-03 |
| 1174694095 | Utah State University | Clinic/Center | 6802 Old Main Hill, Logan, UT 84322-6802 | 2006-11-13 |
| 1447715701 | Utah State University | Specialist | 6405 Old Main Hill, Logan, UT 84322-0001 | 2019-01-31 |
| 1144531419 | Utah State University | Day Training, Developmentally Disabled Services | 150 E Center St, Moab, UT 84532-2430 | 2010-07-01 |
| 1235374984 | Utah State University | Speech-Language Pathologist | 6410 Old Main Hl, Logan, UT 84322-6410 | 2008-12-10 |
| 1386776730 | Utah State University | Psychologist | 2810 Old Main Hl, Logan, UT 84322 | 2007-03-12 |
| 1811058076 | Utah State University | Psychologist | 2810 Old Main Hl, Logan, UT 84322-2810 | 2006-12-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UTAH STATE UNIVERSITY - COLLEGE OF EASTERN UTAH (BLANDING) | 639 W 100 S Suite 1-A, Blanding, UT 84511-4217 |
| System for Award Management (SAM) Entities | UTAH STATE UNIVERSITY - COLLEGE OF EASTERN UTAH (PRICE) | 451 E 400 N, Price, UT 84501-2626 |
| System for Award Management (SAM) Entities | UTAH STATE UNIVERSITY SPACE DYNAMICS LABORATORY | 1695 N Research Pkwy, North Logan, UT 84341 |
| Street Address |
6405 OLD MAIN HILL |
| City | LOGAN |
| State | UT |
| Zip Code | 84322-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114136637 | Ryan B Seedall | Marriage & Family Therapist | 6405 Old Main Hill, Logan, UT 84322-6405 | 2007-05-21 |
| 1710592498 | Jacqueline Guymon | Speech-Language Pathologist | 6405 Old Main Hill, Logan, UT 84322-0001 | 2020-09-10 |
| 1063044865 | Rick Anthony Cruz | Psychologist | 6405 Old Main Hill, Logan, UT 84322-6405 | 2020-02-10 |
| 1891331203 | Katelyn W Oliver | Social Worker | 6405 Old Main Hill, Logan, UT 84322-6405 | 2019-11-20 |
| 1417500273 | Mckenna Christy Voorhees | Dietitian, Registered | 6405 Old Main Hill, Logan, UT 84322-0001 | 2019-07-22 |
| 1346805066 | Maryellen Katherine Brunson Mcclain | Psychologist | 6405 Old Main Hill, Logan, UT 84322-0001 | 2019-05-08 |
| 1447715701 | Utah State University | Specialist | 6405 Old Main Hill, Logan, UT 84322-0001 | 2019-01-31 |
| 1255840021 | Michael Esteban Gerald | Counselor | 6405 Old Main Hill, Logan, UT 84322-6405 | 2017-09-25 |
| 1851812564 | Dakota Pond | Social Worker | 6405 Old Main Hill, Logan, UT 84322-8004 | 2017-07-03 |
| 1477091650 | Gary Tyler Lefevor | Psychologist | 6405 Old Main Hill, Logan, UT 84322-1624 | 2017-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447706007 | Conner Andrews | Physician Assistant | 7425 Old Main Hill, Logan, UT 84322 | 2016-09-01 |
| 1841743515 | Kali Leanne Markle | Audiologist | 2620 Old Main Hl, Logan, UT 84322 | 2016-07-29 |
| 1043670011 | Paul Bryan Beachem Iv | Specialist/Technologist | 7400 Old Main Hill, Dale Mildenberger Sports Medicine Complex, Logan, UT 84322 | 2016-03-03 |
| 1508387176 | Matthew Steven Buckner | Specialist/Technologist | 7400 Old Main Hl, Logan, UT 84322 | 2017-07-04 |
| 1386776730 | Utah State University | Psychologist | 2810 Old Main Hl, Logan, UT 84322 | 2007-03-12 |
| 1366971368 | Caleigh Goode | Specialist/Technologist | 7425 Old Main Hill Athletic Training Room, Logan, UT 84322-0001 | 2017-06-05 |
| 1639319775 | Vicki L. Simonsmeier | Speech-Language Pathologist | Department of Communicative Disorders, 1000 Old Main Hill, Logan, UT 84322-0001 | 2009-03-03 |
| 1730246299 | George Christopher Wootton | Nurse Practitioner | 6802 Old Main Hl, Utah State University, Logan, UT 84322-0001 | 2007-01-03 |
| 1356373807 | Utah State University, Center for Persons With Disabilities | Day Training, Developmentally Disabled Services | 6810 Old Main Hl, Logan, UT 84322-0001 | 2006-07-07 |
| 1801878095 | James Walter Davis | Emergency Medicine | 9100 Old Main Hill, 850 East 1200 North, Logan, UT 84322-0001 | 2005-11-15 |
| Find all providers in zip 84322 | ||||
| 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 |
|---|---|---|---|---|
| 1366813537 | Lauren Pam Turner | Behavioral Analyst | 1780 N 200 E, Logan, UT 84341-1915 | 2015-10-14 |
| 1245532779 | David Matthew Cole | Behavioral Analyst | 1281 N 400 E Apt 4, Logan, UT 84341-2362 | 2010-12-05 |
| 1063013472 | Jessica Thompson | Behavioral Analyst | 541 Sr 664 N, Suite C, Logan, OH 43138-8541 | 2020-11-03 |
| 1629680327 | Makenna L Volquardsen | Behavioral Analyst | 541 State Route 664 N Ste C, Logan, OH 43138-8541 | 2020-08-24 |
| 1144867185 | Jennifer Brooks | Behavioral Analyst | 541 State Route 664 N Ste C, Logan, OH 43138-8541 | 2019-12-10 |
| 1902443948 | Taylor Bernard | Behavioral Analyst | 541 State Route 664 N Ste C, Logan, OH 43138-8541 | 2019-12-10 |
| 1902452014 | Kaitlyn Melissa Johnson | Behavioral Analyst | 541 Sr 664 N, Suite C, Logan, OH 43138-1014 | 2019-08-14 |
| 1215582622 | Michael Kwame Adjokatse | Behavioral Analyst | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2019-08-04 |
| 1699233106 | Lauren Smith | Behavioral Analyst | 541 State Route 664 N Ste C, Logan, OH 43138-8541 | 2019-03-05 |
| 1487111563 | Hannah Moore | Behavioral Analyst | 541 State Route 664 N Ste C, Logan, OH 43138-8541 | 2019-02-26 |
| Find all providers in LOGAN | ||||
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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.