AUTISM BEHAVIOR TREATMENT CENTER, LLC (NPI# 1811223803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811223803 |
| Entity Type | Organization |
| Organization Name | AUTISM BEHAVIOR TREATMENT CENTER, LLC |
| Practice Address |
12222 S 1000 E Suite 3 Draper UT 84020-8278 |
| Practice Telephone | 8015725727 |
| Practice Fax Number | 8015725758 |
| Mailing Telephone | 8015725727 |
| Mailing Fax Number | 8015725758 |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |
| Authorized Official Name | MR. JOSEPH TIMMINS (CONSULTING CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 8015725727 |
| Authorized Official Credential | L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 15914 | UT | Agencies |
| Street Address |
12222 S 1000 E SUITE 3 |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-8278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300141 | Morgan Shetler | Behavior Technician | 12222 S 1000 E, Draper, UT 84020-8278 | 2020-09-14 |
| 1972118214 | Mark Rawle | Behavior Technician | 12222 S 1000 E, Draper, UT 84020-8278 | 2020-09-14 |
| 1275037038 | Jessica Snyder | Behavior Technician | 12222 S 1000 E, Draper, UT 84020-8278 | 2018-03-19 |
| 1457852519 | Danielle Rich | Behavior Technician | 12222 S 1000 E, Draper, UT 84020-8278 | 2018-02-23 |
| 1982102471 | Marissa Stoddard | Behavior Technician | 12222 S 1000 E, Draper, UT 84020-8278 | 2018-01-30 |
| 1760999189 | Lisa Worthy | Behavior Technician | 12222 S 1000 E, Draper, UT 84020-8278 | 2018-01-08 |
| 1386151991 | Chelsea Tew | Behavior Technician | 12222 S 1000 E, Draper, UT 84020-8278 | 2018-01-04 |
| 1144737750 | Shay Hulsey | Behavior Technician | 12222 S 1000 E, Draper, UT 84020-8278 | 2018-01-04 |
| 1972018554 | Heather Misner | Behavioral Analyst | 12222 S 1000 E, Draper, UT 84020-8278 | 2017-12-05 |
| 1841705415 | Nicole Tanner | Behavior Technician | 12222 S 1000 E, Draper, UT 84020-8278 | 2017-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649820341 | Anderson Care Home | Day Training, Developmentally Disabled Services | 1295 N 1700 W, Farr West, UT 84404-3498 | 2019-09-13 |
| 1144412230 | Pryme Corp. | Day Training, Developmentally Disabled Services | 580 E South Weber Dr, South Weber, UT 84405-9206 | 2007-08-14 |
| 1093921223 | Utah Food Bank Services | Day Training, Developmentally Disabled Services | 1025 S 700 W, Salt Lake City, UT 84104-1504 | 2007-05-15 |
| 1104032317 | Valley Personnel Service Inc | Day Training, Developmentally Disabled Services | 1368 W 130 S, Orem, UT 84058-5136 | 2007-05-15 |
| 1003028499 | Alternative Living Solutions | Day Training, Developmentally Disabled Services | 2218 Kiwi Cir, Taylorsville, UT 84118-1770 | 2007-05-05 |
| 1629198767 | North Eastern Services | Day Training, Developmentally Disabled Services | 443 Commerce Rd, Orem, UT 84058-5898 | 2007-03-30 |
| 1881712263 | Enable Industries Incorporated | Day Training, Developmentally Disabled Services | 2640 Industrial Dr, Ogden, UT 84401-3206 | 2007-03-26 |
| 1356468342 | Davis School District | Day Training, Developmentally Disabled Services | 485 Parc Cir, Clearfield, UT 84015 | 2007-03-23 |
| 1962529222 | Work, Inc. | Day Training, Developmentally Disabled Services | 262 E 3900 S Ste 126, Salt Lake City, UT 84107-1550 | 2007-03-23 |
| 1942326723 | Enhancing Life Styles, Inc. | Day Training, Developmentally Disabled Services | 448 E 620 S, Salem, UT 84653-9572 | 2007-03-22 |
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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.