MS. SAMANTHA BLACKWELL (NPI# 1083119788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083119788 |
Entity Type | Individual |
Full Name | MS. SAMANTHA BLACKWELL |
Credential | BCBA |
Practice Address |
650 W Grand Ave Ste 270 Elmhurst IL 60126-1043 |
Mailing Address |
182 Goldeneye Ln Bloomingdale IL 60108-5404 |
Practice Telephone | 2442631613 |
Enumeration Date | 2018-03-26 |
Last Update Date | 2018-05-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103K00000X | Behavioral Analyst | 1-18-29693 | Behavioral Health & Social Service Providers | |
N | 103K00000X | Behavioral Analyst | 1-17-29693 | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821277112 | Samantha Bella Blackwell | Social Worker | 17273 State Route 104, Mail Code 108cd, Chillicothe, OH 45601-8608 | 2007-11-02 |
Street Address |
650 W GRAND AVE STE 270 |
City | ELMHURST |
State | IL |
Zip Code | 60126-1043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
Find all providers in zip 60126 |
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 |
---|---|---|---|---|
1285258483 | Comprehensive Behavior Development LLC | Behavioral Analyst | 956 S Prospect Ave, Elmhurst, IL 60126-5008 | 2020-06-03 |
1508492851 | Shantal Teran | Behavioral Analyst | 5610 94th St Apt 5k, Elmhurst, NY 11373-5022 | 2020-03-19 |
1982138616 | Michel T Paredes | Behavioral Analyst | 8423 55th Ave, Elmhurst, NY 11373-4802 | 2017-04-19 |
1245772300 | Isidra B. Tuburan | Behavioral Analyst | 7911 41st Ave Apt C109, Elmhurst, NY 11373-1204 | 2016-11-07 |
1659723658 | Joana Pangilinan | Behavioral Analyst | 8712 56th Ave, 1 Fl, Elmhurst, NY 11373-4832 | 2016-07-01 |
1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
1124473582 | Esra Ergin | Behavioral Analyst | 8830 51st Ave, Apt.2d, Elmhurst, NY 11373-3919 | 2016-05-03 |
1437510740 | Sabina Miah | Behavioral Analyst | 8830 51st Ave Apt 1k, Elmhurst, NY 11373-3994 | 2016-03-14 |
1447617402 | Fariya Kazi | Behavioral Analyst | 8508 56th Ave, Elmhurst, NY 11373-4828 | 2016-01-21 |
1821465873 | Alessandra Messina | Behavioral Analyst | 1215 Degener Ave, Elmhurst, IL 60126-5401 | 2015-08-25 |
Find all providers in ELMHURST |
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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.