JORGE J VELAZQUEZ (NPI# 1073085767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073085767 |
| Entity Type | Individual |
| Full Name | JORGE J VELAZQUEZ |
| Practice Address |
780 Mcardle Dr Crystal Lake IL 60014-8155 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 7792206262 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053464149 | Jorge Velazquez | Rehabilitation Practitioner | 2855 E Olympic Blvd, Los Angeles, CA 90023-3411 | 2007-01-19 |
| 1407837941 | Jorge Luis Velazquez | Physician Assistant | 680 E Alosta Ave, Azusa, CA 91702-2705 | 2005-11-10 |
| Street Address |
780 MCARDLE DR |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-8155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554175 | Nathan Price | Behavioral Analyst | 780 Mcardle Dr, Crystal Lake, IL 60014-8155 | 2018-07-18 |
| 1508414632 | Holly Powers | Behavior Technician | 780 Mcardle Dr, Crystal Lake, IL 60014-8155 | 2019-09-02 |
| 1275187239 | Ayesha Haroon | Behavior Technician | 780 Mcardle Dr, Crystal Lake, IL 60014-8155 | 2019-07-29 |
| 1457918120 | Sandra Christine Solarte | Behavior Technician | 780 Mcardle Dr, Crystal Lake, IL 60014-8155 | 2019-05-28 |
| 1497228738 | Merisa R Freeman | Social Worker | 780 Mcardle Dr, Crystal Lake, IL 60014-8155 | 2019-01-09 |
| 1134609191 | Amber Elizabeth Gratz | Behavioral Analyst | 780 Mcardle Dr, Crystal Lake, IL 60014-8155 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| 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 |
|---|---|---|---|---|
| 1366090490 | Caitlin Lee Hickman | Behavioral Analyst | 420 Brandy Dr Unit A, Crystal Lake, IL 60014-7430 | 2019-09-02 |
| 1619525979 | Jenna Nicole Gallagher | Behavioral Analyst | 780 Mcardle Dr # Driveabc, Crystal Lake, IL 60014-8155 | 2019-08-29 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1629554175 | Nathan Price | Behavioral Analyst | 780 Mcardle Dr, Crystal Lake, IL 60014-8155 | 2018-07-18 |
| 1841787363 | Samuel Nathan Krus | Behavioral Analyst | 780 Mcardle Dr Ste A, Crystal Lake, IL 60014-8155 | 2018-04-19 |
| 1396255832 | Kristopher Allen Beck | Behavioral Analyst | 1095 Pingree Rd Ste 208209, Crystal Lake, IL 60014-1725 | 2017-10-11 |
| 1205358769 | Christopher M Zielinski | Behavioral Analyst | 262 College St, Crystal Lake, IL 60014-6039 | 2017-07-16 |
| 1861837957 | Danya Michelle Mcarthur-doudou | Behavioral Analyst | 667 Eletson Dr, Crystal Lake, IL 60014-7490 | 2013-05-03 |
| 1982204988 | Lauren Nicole Weiss | Behavioral Analyst | 1095 Pingree Rd Ste 209, Crystal Lake, IL 60014-1727 | 2020-10-28 |
| 1730704859 | Valerie Bilins | Behavioral Analyst | 780 Mcardle Dr Ste A, Crystal Lake, IL 60014-8155 | 2020-06-15 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
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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.