DONNELL MCCAULEY JR. (NPI# 1003370255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003370255 |
| Entity Type | Individual |
| Full Name | DONNELL MCCAULEY JR. |
| Practice Address |
902 W Main St West Frankfort IL 62896-2210 |
| Practice Telephone | 3179376483 |
| Practice Fax Number | 6189371440 |
| Mailing Telephone | 3179376483 |
| Mailing Fax Number | 6189371440 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | IL | Behavioral Health & Social Service Providers | |
| Y | 106S00000X | Behavior Technician | IL | Behavioral Health & Social Service Providers |
| Street Address |
902 W MAIN ST |
| City | WEST FRANKFORT |
| State | IL |
| Zip Code | 62896-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694237 | Leatha Barber | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2020-06-19 |
| 1932733904 | Brittany Goldsberry | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2020-02-27 |
| 1588202816 | Amanda Kistner | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-12-17 |
| 1780222513 | Amanda Denney | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-12-11 |
| 1154965416 | Hannah Sullivan | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-10-30 |
| 1235770199 | Sherry Gibbens | Social Worker | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-10-02 |
| 1033677687 | Brittany Vaughn | Social Worker | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-03-02 |
| 1326502816 | Theresa Herron | Social Worker | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-01-29 |
| 1467928036 | Brian Brown | Social Worker | 902 W Main St, West Frankfort, IL 62896-2210 | 2018-10-22 |
| 1891261871 | Daniel Ray Grisham | Assistant Behavior Analyst | 902 W Main St, West Frankfort, IL 62896-2210 | 2018-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417468406 | Desrie Dawn Farley | Psychologist | 508 East Main, West Frankfort, IL 62896 | 2017-10-17 |
| 1205346657 | Erin Hutchinson | Speech-Language Pathologist | 1401 W Sixth St, West Frankfort, IL 62896 | 2017-10-11 |
| 1326499740 | Casey Huff | Counselor | 202 South Bentley St, Marion, IL 62896 | 2016-06-27 |
| 1629321922 | Sage Psychiatry LLC | Psychiatry & Neurology | 410 W St Louis Street, West Frankfort, IL 62896 | 2012-10-24 |
| 1497907737 | Angela H Henson | Physician Assistant | 310 West St. Louis Street, West Frankfort, IL 62896 | 2008-10-17 |
| 1881884187 | Homestead House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 North Jefferson, West Frankfort, IL 62896 | 2007-08-01 |
| 1528266608 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | 502 West St Louis Street, West Frankfort Community Health Center, West Frankfort, IL 62896 | 2007-07-10 |
| 1437212016 | National Assistance Bureau, Inc. | Skilled Nursing Facility | Westside Care Center, 601 North Columbia St, West Frankfort, IL 62896 | 2006-12-18 |
| 1922176171 | Sebastian John Pagano | Dentist | 208 North Ida, West Frankfort, IL 62896 | 2006-12-04 |
| 1023123346 | Logan Primary Care Service Corp. | Clinic/Center | 502 W St Louis, West Frankfort, IL 62896 | 2006-08-19 |
| Find all providers in zip 62896 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| 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. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083026 | Janani P Iyer | Behavior Technician | 2865 Clara Ave, Aurora, IL 60502-9641 | 2020-11-03 |
| 1932707775 | Jodi L Oller | Behavior Technician | 3921 Pintail Dr, Springfield, IL 62711-6738 | 2020-10-14 |
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1447858675 | Candace Marie Strong | Behavior Technician | 5310 W Cermak Rd, Cicero, IL 60804-2816 | 2020-10-10 |
| 1154928430 | Lenia Harris | Behavior Technician | 6353 S Rockwell St, Chicago, IL 60629-1631 | 2020-10-08 |
| 1083221832 | Halle Rickhoff | Behavior Technician | 8660 Red Fox Rd, Bartelso, IL 62218-1306 | 2020-09-25 |
| 1144836065 | Sonia Wilson | Behavior Technician | 15045 Oak St, Dolton, IL 60419-2640 | 2020-09-16 |
| 1104431105 | Calvin Alexander | Behavior Technician | 715 Foster St, Evanston, IL 60201-3201 | 2020-09-15 |
| 1316552813 | Yasmin Muhammad | Behavior Technician | 113 W 112th Pl, Chicago, IL 60628-4829 | 2020-09-11 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
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| City | WEST FRANKFORT |
| Zip Code | 62896 |
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| 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.