ILENE TRUJILLO (NPI# 1174181820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174181820 |
| Entity Type | Individual |
| Full Name | ILENE TRUJILLO |
| Practice Address |
1642 N 40th Ave Stone Park IL 60165-1112 |
| Practice Telephone | 7082444202 |
| Mailing Telephone | 7082444202 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |
| 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 |
1642 N 40TH AVE |
| City | STONE PARK |
| State | IL |
| Zip Code | 60165-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275697914 | Syed A Ali | Chiropractor | 1813 N 38th Ave, Stone Park, IL 60165-1013 | 2006-12-20 |
| 1144766544 | Nicole Hernandez | Counselor | 1819 N 34th Ave, Stone Park, IL 60165-1023 | 2017-01-10 |
| 1679660740 | Village of Stone Park | Ambulance | 1745 N 35th Ave, Stone Park, IL 60165-1025 | 2006-10-09 |
| 1003931858 | Bellwood School Dist 88 | Local Education Agency (LEA) | 1801 N 36th Ave, Stone Park, IL 60165-1031 | 2007-03-20 |
| 1992901284 | Blanca Antonia Arenas | Developmental Therapist | 1827 N 43rd Ave, Stone Park, IL 60165-1039 | 2007-06-22 |
| 1578769840 | Carlos Rabi Arenas | Interpreter | 1827 N 43rd Ave, Stone Park, IL 60165-1039 | 2007-06-25 |
| 1689299257 | Precision Immediate Care and Medical Center, LLC | Clinic/Center | 3520 W North Ave, Stone Park, IL 60165-1042 | 2020-06-10 |
| 1609054725 | Pilsen-little Village Community Mental Health Center, Inc | Clinic/Center | 1546 N Mannheim Rd, Stone Park, IL 60165-1117 | 2008-01-31 |
| 1184846339 | Genis Enterprise Inc. | Pharmacy | 1550 N Mannheim Rd, Stone Park, IL 60165-1117 | 2007-05-03 |
| 1437304631 | Cambridge Medical Clinic, LLC | Urology | 1550 N Mannheim Rd Ste C, Stone Park, IL 60165-1300 | 2008-12-02 |
| Find all providers in zip 60165 | ||||
| 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 |
|---|---|---|---|---|
| 1760083026 | Janani P Iyer | Behavior Technician | 2865 Clara Ave, Aurora, IL 60502-9641 | 2020-11-03 |
| 1932707775 | Jodi L Oller | Behavior Technician | 3921 Pintail Dr, Springfield, IL 62711-6738 | 2020-10-14 |
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1447858675 | Candace Marie Strong | Behavior Technician | 5310 W Cermak Rd, Cicero, IL 60804-2816 | 2020-10-10 |
| 1154928430 | Lenia Harris | Behavior Technician | 6353 S Rockwell St, Chicago, IL 60629-1631 | 2020-10-08 |
| 1083221832 | Halle Rickhoff | Behavior Technician | 8660 Red Fox Rd, Bartelso, IL 62218-1306 | 2020-09-25 |
| 1144836065 | Sonia Wilson | Behavior Technician | 15045 Oak St, Dolton, IL 60419-2640 | 2020-09-16 |
| 1104431105 | Calvin Alexander | Behavior Technician | 715 Foster St, Evanston, IL 60201-3201 | 2020-09-15 |
| 1316552813 | Yasmin Muhammad | Behavior Technician | 113 W 112th Pl, Chicago, IL 60628-4829 | 2020-09-11 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | STONE PARK |
| Zip Code | 60165 |
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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.