CLIFFORD S WOODALL BCBA, SSW - NPI 1235679895 - Behavior Analyst in Farmington, UT

Q: What is Clifford Woodall's NPI number?

The NPI number for Clifford Woodall is 1235679895. It was assigned to this individual provider in the NPPES registry on March 1, 2017.

Q: What is Clifford Woodall's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Clifford Woodall was last updated on June 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Clifford S Woodall Bcba, Ssw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLIFFORD S WOODALL BCBA, SSW (NPI 1235679895) is an individual behavior analyst provider in Farmington, Utah, licensed in Utah (3107107-2506) and active in the NPI registry since March 2017. He maintains a secondary practice location in Kaysville.

NPPES Registry Identity

NPI1235679895

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameCLIFFORD S WOODALLCredential: BCBA, SSW

Location Address240 N EAST PROMONTORY STE 200Farmington, UT 84025-2950

Mailing Address240 N East Promontory Ste 200Farmington, UT 84025-2950 · (385) 245-2151 · Fax (801) 255-5131

Phone(385) 245-2151

Fax(801) 255-5131

Sole ProprietorYes

Enumeration DateMarch 1, 2017

Last NPPES UpdateJune 17, 20243 updates tracked since enumeration

NPPES CertifiedJune 17, 2024

✔ NPI 1235679895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in UT · 3107107-2506

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.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedSocial WorkerTaxonomy 104100000X · License 3107107-3503 (UT)

240 N EAST PROMONTORY STE 200, Farmington, UT 84025

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Secondary Practice Location 1

Location 1657 N Kays DrKaysville, UT 84037-6764 · Phone (385) 245-2151 · Fax (385) 235-7760

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIND AND STRENGTH LLC

Social Worker (Clinical)