JAKLYNN DENISE NICHOLS-ANDERSON (NPI# 1023500519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023500519 |
| Entity Type | Individual |
| Full Name | JAKLYNN DENISE NICHOLS-ANDERSON |
| Credential | RBT-18-56780 |
| Practice Address |
13918 Central Park Ave Apt 2n Robbins IL 60472-1933 |
| Practice Telephone | 7738956632 |
| Mailing Telephone | 7738956632 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 18-56780 | IL | Behavioral Health & Social Service Providers |
| Street Address |
13918 CENTRAL PARK AVE APT 2N |
| City | ROBBINS |
| State | IL |
| Zip Code | 60472-1933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083641146 | Simon Joseph Piller | Internal Medicine | Robbins Health Center of Cook County, 13450 S. Kedzie Ave., Robbins, IL 60472 | 2006-06-26 |
| 1073572889 | Pamela Lynn Jones | Pharmacist | Robbins Health Center, 13450 South Kedzie, Robbins, IL 60472 | 2006-03-21 |
| 1336592609 | Geraldine Washington | Non-emergency Medical Transport (VAN) | 13613 S Crawford Ave, Robbins, IL 60472-1413 | 2016-07-21 |
| 1184249328 | Ibg Home Nursing LLC | Registered Nurse | 3422 W 137th St, Robbins, IL 60472-1606 | 2020-06-13 |
| 1053942920 | Village of Robbins | Ambulance | 3327 W 137th Street, Robbins, IL 60472-1636 | 2020-01-30 |
| 1376578799 | Tais V. Crawford | Family Medicine | 13450 S Kedzie Ave, Robbins Health Center, Robbins, IL 60472-1639 | 2006-07-12 |
| 1053942045 | Cook County | Family Medicine | 13450 S Kedzie Ave, Robbins, IL 60472-1639 | 2020-01-29 |
| 1922127844 | Cook County | Clinic/Center | 13450 S Kedzie Ave, Robbins, IL 60472-1639 | 2007-03-29 |
| 1629164793 | Jacqueline H Marshall | Pediatrics | 13450 S Kedzie Ave, Robbins, IL 60472-1639 | 2006-10-05 |
| 1225348501 | Cem Home Health Services, Inc | Home Health | 3800 W 139th St, Robbins, IL 60472-1804 | 2010-10-20 |
| Find all providers in zip 60472 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
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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.