STACEY KERWIN (NPI# 1134786783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134786783 |
| Entity Type | Individual |
| Full Name | STACEY KERWIN |
| Practice Address |
1002 Lilac Ln Joliet IL 60435-3242 |
| Practice Telephone | 8152167983 |
| Mailing Telephone | 8152167983 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1002 LILAC LN |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| 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 |
|---|---|---|---|---|
| 1225657570 | Iisha Summers | Behavior Technician | 823 Hermans Ln, Joliet, IL 60433-2607 | 2020-04-15 |
| 1770146227 | Maureen Beadleston | Behavior Technician | 1841 Tanager Ct, Joliet, IL 60435-3764 | 2019-04-19 |
| 1164906400 | Victoria Denise Flowers | Behavior Technician | 102 Stryker Ave Apt 711, Joliet, IL 60436-1394 | 2018-09-22 |
| 1427547074 | Rekueta Lashon Phillips | Behavior Technician | 2904 Facel Vega Dr, Joliet, IL 60435-6487 | 2018-05-08 |
| 1124517891 | Debra Beer | Behavior Technician | 3009 Heritage Dr Apt 9, Joliet, IL 60435-4759 | 2018-05-08 |
| 1710476841 | Heather M Martinez | Behavior Technician | 1014 Heron Cir, Joliet, IL 60431-8888 | 2018-05-03 |
| 1033611314 | Leslie K Kinsella | Behavior Technician | 807 Sherwood Pl, Joliet, IL 60435-5953 | 2018-03-02 |
| 1700493277 | Rachel Elizabeth Peterson | Behavior Technician | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-09-28 |
| 1790303881 | Acacia Grace Fisher | Behavior Technician | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-07-06 |
| 1386269587 | Jennifer Rose Hume | Behavior Technician | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-06-12 |
| Find all providers in JOLIET | ||||
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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.