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Maxwell Hancock

Behavior Technician β€’ Providence, UT

Active NPI 1659081222 Individual Practitioner Male Practitioner
Practice location in NPPES

525 W 465 N Ste 120
Providence, UT 843325604

Call 3852971758 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

525 W 465 N Ste 120

Providence, UT 843325604

Telephone 3852971758

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Providence and Utah

85 active clinicians are listed under Behavior Technician with a practice address in Providence, UT (10,584 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Providence

0% of these 85 clinicians have the CMS telehealth indicator.

0% of these 85 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-28
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Behavior Tech
1104119619

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location November 13, 2023

Registered at 525 W 465 N STE 120, PROVIDENCE, UT 843325604 (Tel: 3852971758)

πŸ“
Updated Business Mailing Address November 13, 2023

Registered at 1443 W 800 N, #103, OREM, UT 84057, LOGAN, UT 843212567 (Tel: 3852971758)

βœ…
NPI Profile Active December 05, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 05, 2022

Registered at 35 SKYLINE DR, BRIGHAM CITY, UT 843026772 (Tel: 8012555131)

πŸ“
Business Mailing Address (Initial Record) December 05, 2022

Registered at 6013 S REDWOOD RD, TAYLORSVILLE, UT 841235220

πŸ‘€
Provider Name / Credentials (Initial Record) December 05, 2022

Recorded as MAXWELL HANCOCK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2022

Behavior Technician

🟒
Initial NPI Registration & Enumeration December 05, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659081222
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2022
Last Update: November 13, 2023
Sole Proprietor: Yes

Mailing Address

1443 W 800 N, #103, Orem, Ut 84057

Logan, UT 843212567

Phone: 3852971758

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.