ZACHARY STATON TUCKER


Address: 1020 S Main St, Salt Lake City, UT 84101-3176
Phone: 8015955205

ZACHARY STATON TUCKER (NPI# 1912488990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912488990
Entity Type Individual
Full Name ZACHARY STATON TUCKER
Practice Address 1020 S Main St
Salt Lake City
UT 84101-3176
Mailing Address 4460 S Highland Dr
Salt Lake City
UT 84124-3543
Practice Telephone 8015955205
Enumeration Date 2018-08-27
Last Update Date 2018-08-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Other Providers ZACHARY TUCKER

NPI Name Taxonomy Address Enumeration
1265859649 Zachary Charles Tucker Student in an Organized Health Care Education/Training Program 8414 Naab Rd Ste 100, Indianapolis, IN 46260-1972 2014-03-24
1649705211 Zachary Tucker Counselor 1960 Thompson Dr, Sedro Woolley, WA 98284-5007 2017-04-20

Office Location

Street Address 1020 S MAIN ST
City SALT LAKE CITY
State UT
Zip Code 84101-3176

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659355790 James D. Ricciardi Psychologist 1020 S Main St, Salt Lake City, UT 84101-3176 2005-12-02
1861958506 Pamrose Sitake Registered Nurse 1020 S Main St, Salt Lake City, UT 84101-3176 2019-02-19
1821562760 Christopher Davis Pharmacy Technician 1020 S Main St, Salt Lake City, UT 84101-3176 2019-01-14
1346713732 Eric Sitta Community Health Worker 1020 S Main St, Salt Lake City, UT 84101-3176 2019-01-08
1215405048 Mackenzie Heather Blundell Case Manager/Care Coordinator 1020 S Main St, Salt Lake City, UT 84101-3176 2018-11-09
1588132724 Natalie Jeanine Williams Community Health Worker 1020 S Main St, Salt Lake City, UT 84101-3176 2018-11-06
1609343482 Sophia Renee Felix Community Health Worker 1020 S Main St, Salt Lake City, UT 84101-3176 2018-10-30
1437630431 Mark J Sanchez Behavioral Analyst 1020 S Main St, Salt Lake City, UT 84101-3176 2018-08-27
1174004196 Kristin Emily Olsen Behavioral Analyst 1020 S Main St, Salt Lake City, UT 84101-3176 2018-08-27
1568941193 Dallas Lewis Pharmacist 1020 S Main St, Salt Lake City, UT 84101-3176 2018-08-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053804237 Holly Smith Registered Nurse 1020 S Main Street, Salt Lake City, UT 84101 2018-06-12
1174999627 Justin Williams Social Worker 155 W. 300 S., Salt Lake City, UT 84101 2015-08-19
1902291842 Daryl Ray Ezidore Student in an Organized Health Care Education/Training Program 100 South 344 East, Salt Lake City, UT 84101 2015-03-30
1104190859 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 50 S Main St Ste 115, Salt Lake City, UT 84101 2012-02-28
1366713307 Gonstead Family Chiropractic Chiropractor 1154 S. 300 W., Suite C, Salt Lake City, UT 84101 2012-01-23
1659544880 Jeffrey Daniel Registered Nurse 404 South 400 West, Salt Lake City, UT 84101 2008-04-09
1306030580 Christopher Dean Chapman Chiropractor 345 W 100 S Ste 6c, Salt Lake City, UT 84101 2007-08-30
1689713497 Walter Landon Bye Dentist 15 West South Temple, Gateway Tower West Suite 440, Salt Lake City, UT 84101 2007-02-06
1154403152 Allison Miller Gardner Physical Therapist 84 West 700 South, Salt Lake City, UT 84101 2006-10-19
1780655407 Frederick Van Der Veur Social Worker 1020 South Main Street, 242, Salt Lake City, UT 84101 2006-01-30
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659985521 Adrianna Hall Behavioral Analyst 1219 E Emerson Ave, Salt Lake City, UT 84105-2529 2020-09-08
1114585213 Heather Lucille Pehrson Behavioral Analyst 515 E 700 S, Salt Lake City, UT 84102-3307 2019-06-03
1437657517 Brooke Brooke Miller Behavioral Analyst 3006 S Highland Dr, Salt Lake City, UT 84106-3020 2018-01-24
1336647478 Claire Larson Behavioral Analyst 3006 S Highland Dr # 210, Salt Lake City, UT 84106-3020 2018-01-23
1346751104 Camille Ross Behavioral Analyst 51 W 39th S, Salt Lake City, UT 84107-1431 2017-10-19
1285151696 Erin Gates Behavioral Analyst 1441 E Fort Union Blvd, Salt Lake City, UT 84121-2847 2017-08-25
1235669151 Rebecca D Sheppard Behavioral Analyst 223 E 3rd Ave Apt 417, Salt Lake City, UT 84103-2428 2017-06-13
1003368291 Hannah Smith Behavioral Analyst 515 S 700 E # 2, Salt Lake City, UT 84102-2801 2016-11-04
1972963387 Mayra Martins Behavioral Analyst 938 S Washington St Apt 203, Salt Lake City, UT 84101-3017 2016-02-26
1871950691 Erin Huntsman Behavioral Analyst 243 East 400 West, Ste. 300, Salt Lake City, UT 84111 2016-01-25
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84101

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Dataset Information

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.

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