BRUCE DWAYNE GLAD (NPI# 1649550732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649550732 |
| Entity Type | Individual |
| Full Name | BRUCE DWAYNE GLAD |
| Credential | CSW, BCBA |
| Practice Address |
13923 S Haystack Peak Cir Riverton UT 84096-6453 |
| Practice Telephone | 8015066695 |
| Mailing Telephone | 8015066695 |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2015-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
13923 S HAYSTACK PEAK CIR |
| City | RIVERTON |
| State | UT |
| Zip Code | 84096-6453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548568272 | Noel Brady | Counselor | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2011-03-04 |
| 1790212413 | Amanda Jensen | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-05-11 |
| 1053843250 | Shaeleigh Jade Knell | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-03-28 |
| 1063952497 | Brittany Steele Baker | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-03-04 |
| 1356881189 | Lara Staats | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-02-27 |
| 1699215558 | Janae Hamilton | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-02-26 |
| 1386183754 | Brendon Larimore | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-02-18 |
| 1417495607 | Sidney Rasher | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-02-07 |
| 1851839286 | Kristen Semken | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-02-06 |
| 1477090868 | Jessica Muni | Specialist | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2017-01-24 |
| 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 | 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 |
|---|---|---|---|---|
| 1467955518 | Cheryl L Coleman | Behavioral Analyst | 26 Far View Cir, Riverton, WY 82501-9760 | 2018-03-15 |
| 1891000634 | Shara Bailey | Behavioral Analyst | 4388 Harvest Creek Way, Riverton, UT 84096-6902 | 2010-08-17 |
| 1851767131 | Virginia Jimenez | Behavioral Analyst | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2015-08-20 |
| 1114393030 | Cicely Irene Nickerson | Behavioral Analyst | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2015-08-14 |
| 1326424813 | Benjamin Beus | Behavioral Analyst | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2015-08-06 |
| 1528457330 | Ashlin Smith | Behavioral Analyst | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2015-01-16 |
| 1124446216 | Joel Tangaro | Behavioral Analyst | 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 | 2014-04-04 |
| 1144517301 | Abbi Campbell | Behavioral Analyst | 510 Main St, Riverton, NJ 08077-1313 | 2011-07-07 |
| 1164738290 | Mikael Lee Kristina Greeff | Behavioral Analyst | 4388 Harvest Creek Way, Riverton, UT 84096-6902 | 2010-08-26 |
| 1164737904 | Shawn Bailey | Behavioral Analyst | 4388 Harvest Creek Way, Riverton, UT 84096-6902 | 2010-08-17 |
| Find all providers in RIVERTON | ||||
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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.