NATHALIA CONSTANZA BIZAMA FREDES (NPI# 1114548591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114548591 |
| Entity Type | Individual |
| Full Name | NATHALIA CONSTANZA BIZAMA FREDES |
| Practice Address |
5200 S Blackstone Ave Apt 503 Chicago IL 60615-6011 |
| Practice Telephone | 7736902147 |
| Mailing Telephone | 7736902147 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |
| 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 |
5200 S BLACKSTONE AVE APT 503 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-6011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| 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 |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1154928430 | Lenia Harris | Behavior Technician | 6353 S Rockwell St, Chicago, IL 60629-1631 | 2020-10-08 |
| 1316552813 | Yasmin Muhammad | Behavior Technician | 113 W 112th Pl, Chicago, IL 60628-4829 | 2020-09-11 |
| 1093323578 | Jasmine Wilson | Behavior Technician | 7936 S Constance Ave, Chicago, IL 60617-1025 | 2020-07-21 |
| 1831707926 | Ronald Sandridge | Behavior Technician | 4002 N Kenmore Ave Apt 3e, Chicago, IL 60613-2090 | 2020-07-15 |
| 1477170736 | Lynnquell Gardiner | Behavior Technician | 4546 N Damen Ave, Chicago, IL 60625-1613 | 2020-07-01 |
| 1891312476 | Ariana Giselle Garcia | Behavior Technician | 1734 N Newland Ave, Chicago, IL 60707-4409 | 2020-06-30 |
| 1902423692 | Nicole Militello | Behavior Technician | 1921 W Irving Park Rd Apt 3, Chicago, IL 60613-2407 | 2020-06-29 |
| 1083230874 | Zuzanna Koscielniak | Behavior Technician | 5123 S Laporte Ave, Chicago, IL 60638-3010 | 2020-06-17 |
| 1851916399 | Donisha N Coleman | Behavior Technician | 5703 S Elizabeth St, Chicago, IL 60636-1906 | 2020-06-10 |
| Find all providers in CHICAGO | ||||
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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.