ELEXUS JADE FOURNIER (NPI# 1083242788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083242788 |
Entity Type | Individual |
Full Name | ELEXUS JADE FOURNIER |
Practice Address |
7177 Crimson Ridge Dr Ste 110 Rockford IL 61107-6235 |
Practice Telephone | 7797716343 |
Mailing Telephone | 7797716343 |
Enumeration Date | 2020-03-29 |
Last Update Date | 2020-03-29 |
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 |
7177 CRIMSON RIDGE DR STE 110 |
City | ROCKFORD |
State | IL |
Zip Code | 61107-6235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
Find all providers in zip 61107 |
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 |
---|---|---|---|---|
1447875257 | Lauren Mast | Behavior Technician | 20 S Fremont St Ne, Rockford, MI 49341-1210 | 2020-06-08 |
1558994293 | Evan Donald Demara | Behavior Technician | 552 Orchard Dr Ne, Rockford, MI 49341-7205 | 2020-02-21 |
1255979001 | Amber Polk | Behavior Technician | 1220 S Sunset Ave, Rockford, IL 61102-2649 | 2019-12-11 |
1548804594 | Elysia Marie Ray | Behavior Technician | 2421 Kobel Ct, Rockford, IL 61102-2518 | 2019-11-02 |
1578129292 | Corey Llewellyn Krieg | Behavior Technician | 8565 Courtland Dr Ne, Rockford, MI 49341-8265 | 2019-05-17 |
1851850242 | Colleena Sue Smith | Behavior Technician | 2809 Halsted Rd Apt B, Rockford, IL 61101-2855 | 2019-03-15 |
1295206340 | Amanda Denise Branney | Behavior Technician | 1135 Woodridge Dr, Rockford, IL 61108-4016 | 2018-12-16 |
1184195273 | Jill Frances Smith | Behavior Technician | 2212 Canary Dr Unit E, Rockford, IL 61103-1928 | 2018-12-16 |
1922576172 | Ashley Elainah Lewis | Behavior Technician | 3207 Louise St, Rockford, IL 61103-3020 | 2018-11-06 |
1851883326 | Kirstin Journey Porter | Behavior Technician | 1042 Lundvall Ave, Rockford, IL 61107-3338 | 2018-05-31 |
Find all providers in ROCKFORD |
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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.