EMMA VILA-GILLAM (NPI# 1063043040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063043040 |
| Entity Type | Individual |
| Full Name | EMMA VILA-GILLAM |
| Practice Address |
1080 N Delaware Ave Philadelphia PA 19125-4330 |
| Mailing Address |
212 Ivy Rd Edgewater Park NJ 08010-2619 |
| Practice Telephone | 2154960707 |
| Mailing Telephone | 2674551227 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | BH003002 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1080 N DELAWARE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19125-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992872196 | Sarah Charlotte Goldfine-ward | Nurse Practitioner | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2006-11-30 |
| 1447885165 | Kiera L Rasmussen | Social Worker | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2020-03-04 |
| 1205466604 | Jessica Moleano | Counselor | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2020-01-24 |
| 1891335246 | Elizabeth M Galbally | Counselor | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2020-01-14 |
| 1740826858 | Honoris Manuel Ferreras | Marriage & Family Therapist | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2019-11-24 |
| 1932759925 | Lauren Mcneil | Social Worker | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2019-09-12 |
| 1295292795 | Jodie Antoine | Social Worker | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2019-02-21 |
| 1427533280 | Greater Philadelphia Health Action, Inc. | Clinic/Center | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2018-09-27 |
| 1619455706 | Kara Devers Fawley | Psychologist | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2018-08-01 |
| 1487162830 | Lauren Griesser | Counselor | 1080 N Delaware Ave, Philadelphia, PA 19125-4330 | 2018-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194241810 | Latiana Ridgell | Registered Nurse | 1080 N. Delaware Ave, Suite 300d, Phildelphia, PA 19125 | 2017-08-15 |
| 1659800175 | Michael William Pelekanos | Psychiatry & Neurology | 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 | 2017-06-08 |
| 1063940187 | Travis J Dichoso | Psychiatry & Neurology | 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2017-06-02 |
| 1891232419 | Kristin Marie Iannuzzelli | Counselor | 1114 Earl Street, Philadelphia, PA 19125 | 2017-01-20 |
| 1811440399 | Temple University Hospital | Psychiatric Hospital | 100 East Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2016-08-01 |
| 1518343359 | Tamer Hassan Zayed Moustafa | Dentist | 100 E Lehigh Ave # Pm2, Philadelphia, PA 19125 | 2015-08-04 |
| 1235564337 | Ron Benjamin | Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
| 1457799165 | Ross Andrew Levine | Dentist | 100 E. Lehigh Ave, Pedatric Dental Associates, Philadelphia, PA 19125 | 2013-06-05 |
| 1518228543 | Kristen Kathleen Howland | Occupational Therapist | 404 East Flora St, Philadelphia, PA 19125 | 2012-06-06 |
| 1447539754 | Kiran Majeed | Psychiatry & Neurology | 100 E. Lehigh Aveune, Suite # 105, Philadelphia, PA 19125 | 2011-08-04 |
| Find all providers in zip 19125 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486321 | Jasmin Jetie Tyree | Behavioral Analyst | 109 S 63rd St, Philadelphia, PA 19139-2929 | 2020-11-01 |
| 1659970192 | Songbird Health Pa LLC | Behavioral Analyst | 325 Chestnut St Ste 876, Philadelphia, PA 19106-2614 | 2020-10-24 |
| 1184223422 | Lauren Killion | Behavioral Analyst | 7626 Burholme Ave, Philadelphia, PA 19111-2411 | 2020-10-19 |
| 1407454622 | Sakeena Myrick | Behavioral Analyst | 2405 S Edgewood St, Philadelphia, PA 19142-3201 | 2020-10-09 |
| 1871102715 | Hassan Ayobami Adeyemo | Behavioral Analyst | 5041 F St Fl 2, Philadelphia, PA 19124-3501 | 2020-07-27 |
| 1477171882 | Kimberly Palmer | Behavioral Analyst | 6359 Gillespie St, Philadelphia, PA 19135-3222 | 2020-07-13 |
| 1396360459 | Shariffah Chuma Azzaam | Behavioral Analyst | 5862 N 6th St, Philadelphia, PA 19120-1303 | 2020-06-14 |
| 1760006795 | Bianca S Montalmont | Behavioral Analyst | 128 Widener St, Philadelphia, PA 19120-1935 | 2020-06-05 |
| 1528687092 | Pa Sprout Mc 1 LLC | Behavioral Analyst | 701 E Cathedral Rd Ste 45, Philadelphia, PA 19128-2128 | 2020-04-14 |
| 1518590587 | Natalie Sherese Simmons | Behavioral Analyst | 944 E Johnson St Apt 207b, Philadelphia, PA 19138-3207 | 2020-02-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19125 |
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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.