TATIANA NICHOLLS (NPI# 1063975662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063975662 |
| Entity Type | Individual |
| Full Name | TATIANA NICHOLLS |
| Other Name | TATIANA ROGERS |
| Practice Address |
18550 W Millburn Rd Old Mill Creek IL 60083-9248 |
| Mailing Address |
1321 Murfreesboro Pike Ste 702 Nashville TN 37217-2679 |
| Practice Telephone | 8479167375 |
| Mailing Telephone | 6156952277 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
18550 W MILLBURN RD |
| City | OLD MILL CREEK |
| State | IL |
| Zip Code | 60083-9248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366776163 | Millburn Community Consolidated School District #24 | Local Education Agency (LEA) | 18550 W Millburn Rd, Old Mill Creek, IL 60083-9248 | 2009-09-25 |
| 1689227720 | Nadia Foster | Behavior Technician | 18550 W Millburn Rd, Old Mill Creek, IL 60083-9248 | 2019-07-18 |
| 1255896114 | Brooke Yamauchi | Behavior Technician | 18550 W Millburn Rd, Old Mill Creek, IL 60083-9248 | 2019-02-05 |
| 1235694233 | Carley Dolence | Behavioral Analyst | 18550 W Millburn Rd, Old Mill Creek, IL 60083-9248 | 2019-02-04 |
| 1619445178 | Lauren Steffens | Behavioral Analyst | 18550 W Millburn Rd, Old Mill Creek, IL 60083-9248 | 2018-11-02 |
| 1467937078 | Bradley Matlin | Behavior Technician | 18550 W Millburn Rd, Old Mill Creek, IL 60083-9248 | 2018-09-28 |
| 1003336546 | Lauren Renee Bean | Behavioral Analyst | 18550 W Millburn Rd, Old Mill Creek, IL 60083 | 2017-06-26 |
| 1225457005 | Stacey Charmoy | Behavioral Analyst | 18550 W Millburn Rd, Old Mill Creek, IL 60083-9248 | 2014-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235594623 | Roberta Jeter | Dental Hygienist | 13146 W Newcastle Ln, Beach Park, IL 60083-3001 | 2015-12-29 |
| 1902296502 | Mary Roberson | Counselor | 39385 N Stockton Ln, Beach Park, IL 60083-3010 | 2015-02-03 |
| 1548624471 | David Londo | Specialist/Technologist | 39400 N Stockton Ln, Beach Park, IL 60083-3011 | 2016-04-06 |
| 1639658883 | Timberly Robinson | Social Worker | 13123 W Yorkshire Ln, Beach Park, IL 60083-3019 | 2018-08-08 |
| 1073140513 | Grishma V. Gandhi | Nurse Practitioner | 13100 W Yorkshire Ln, Beach Park, IL 60083-3020 | 2020-03-25 |
| 1699822460 | Allison Sheridan Myers | Speech-Language Pathologist | 12916 W Wakefield Dr, Beach Park, IL 60083-3040 | 2007-01-04 |
| 1548414048 | Sumer Porter | Developmental Therapist | 39649 N Warren Ln, Beach Park, IL 60083-3051 | 2008-11-11 |
| 1841490182 | Mary Ann Wiermanski | Psychologist | 39667 N Warren Lane, Beach Park, IL 60083-3051 | 2007-07-24 |
| 1649413642 | Jennifer Lynn Heuschmidt | Occupational Therapist | 39534 N Queensbury Ln, Beach Park, IL 60083-3055 | 2009-04-07 |
| 1750523072 | We Care Senior Caregiver Services, Inc. | Home Health | 13075 W Bucksburn Ct, Beach Park, IL 60083-3210 | 2009-04-01 |
| Find all providers in zip 60083 | ||||
| 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 |
|---|---|---|---|---|
| 1689227720 | Nadia Foster | Behavior Technician | 18550 W Millburn Rd, Old Mill Creek, IL 60083-9248 | 2019-07-18 |
| 1255896114 | Brooke Yamauchi | Behavior Technician | 18550 W Millburn Rd, Old Mill Creek, IL 60083-9248 | 2019-02-05 |
| 1467937078 | Bradley Matlin | Behavior Technician | 18550 W Millburn Rd, Old Mill Creek, IL 60083-9248 | 2018-09-28 |
| 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 | ||||
| City | OLD MILL CREEK |
| Zip Code | 60083 |
Please comment or provide details below to improve the information on TATIANA NICHOLLS.
| 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.