LYDIA SULLIVAN (NPI# 1124579370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124579370 |
Entity Type | Individual |
Full Name | LYDIA SULLIVAN |
Practice Address |
721 South Blvd Suite 210 Oak Park IL 60302-2982 |
Practice Telephone | 3124047225 |
Mailing Telephone | 3124047225 |
Enumeration Date | 2016-10-21 |
Last Update Date | 2016-10-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103K00000X | Behavioral Analyst | 11623077 | IL | Behavioral Health & Social Service Providers |
Street Address |
721 SOUTH BLVD SUITE 210 |
City | OAK PARK |
State | IL |
Zip Code | 60302-2982 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
Find all providers in zip 60302 |
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 |
---|---|---|---|---|
1710529045 | Jane E. Decaire | Behavioral Analyst | 844 Mapleton Ave, Oak Park, IL 60302-1402 | 2019-10-08 |
1073086211 | Miguel N Reyes Jr. | Behavioral Analyst | 6930 Roosevelt Rd., Oak Park, IL 60304 | 2019-01-10 |
1689198335 | Courtney Kuchan | Behavioral Analyst | 721 South Blvd Ste 210, Oak Park, IL 60302-2982 | 2017-08-02 |
1831622083 | Brian Morgan | Behavioral Analyst | 1180 Lyman Ave, Oak Park, IL 60304-2232 | 2017-04-05 |
1760927107 | Saterae Terry | Behavioral Analyst | 320 Chicago Ave, Oak Park, IL 60302-2315 | 2016-12-20 |
1164975736 | Nicholas Mercurio | Behavioral Analyst | 15420 Northgate Blvd, #102, Oak Park, MI 48237-1243 | 2016-07-29 |
1770943243 | Jennifer Zosel | Behavioral Analyst | 43 South Blvd Apt 3s, Oak Park, IL 60302-2719 | 2016-02-26 |
1841660578 | Chantele Williams | Behavioral Analyst | 25595 Briar Dr, Oak Park, MI 48237-1335 | 2015-10-07 |
1689059214 | Jaime Elise Matas | Behavioral Analyst | 6930 Roosevelt Rd, Oak Park, IL 60304-1845 | 2015-07-24 |
1346638657 | Mary Beth Western | Behavioral Analyst | 23046 Ithaca St, Oak Park, MI 48237-2213 | 2015-01-08 |
Find all providers in OAK PARK |
Please comment or provide details below to improve the information on LYDIA SULLIVAN.
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.