Makenna R Childs

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

867 S 800 W
Pleasant Grove, UT 84062-4505

Phone

(801) 935-4171

NPI assigned

Oct 14, 2019

Last updated

Oct 14, 2019By the provider in NPPES

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

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1659913325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S 700 E STE 2A",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841022855",
            "telephone_number": "801-935-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 S 800 W",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624505",
            "telephone_number": "801-935-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "MAKENNA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Chapman
• Craig D Chappell, DO
• Abigail Charlesworth
• Child & Family Eyecare Center, LLC
• Chandee Cyrena Childress
• Emily Chipping, CRNA
• Paige Christiansen
• Ryanne McKay Cisneros
• Daniel Clark
• Matthew Brent Clark, M.D.

• Behavior Technician in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Behavior Technician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.