Haley Kate Charlesworth, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-181173 Issued in UT

Practice address

1507 S 180 E
Provo, UT 84606-5570

Phone

(801) 604-1455

NPI assigned

Aug 21, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chrysalis Utah, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Orem, UT
  • NPI 1891898045
  NPD
• Chrysalis Utah, Inc.

  • Mental Health Counselor
  • Provo, UT
  • NPI 1356843114
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1154097855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 W 800 N STE 103",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572878",
            "telephone_number": "801-655-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 S 180 E",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846065570",
            "telephone_number": "801-604-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLESWORTH",
        "first_name": "HALEY",
        "middle_name": "KATE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "UT",
            "license": "RBT-21-181173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbey Chapple
• Dennis Chapple
• Paige Cree Chardavoyne, MD
• Charles V. Pledger M.D., P.C.
• Kelli Anne King Charles, M.S. CCC-SLP
• Cade Charlton, RBT
• Danielle Chase
• Stefan Chase, CSW
• Susan P Chasson, APRN/CNM
• Summer Chatfield

• Behavior Technician in Provo, UT
• Providers in Provo, UT by specialty
• Behavior Technician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.