MARK COLLINS (NPI# 1184263378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184263378 |
| Entity Type | Individual |
| Full Name | MARK COLLINS |
| Practice Address |
740 Quail Ridge Dr Bldg D Westmont IL 60559-6148 |
| Mailing Address |
1019 S Ashland Ave La Grange IL 60525-2822 |
| Practice Telephone | 6305810334 |
| Mailing Telephone | 8472124911 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 696825 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 512 W Burlington Ave, La Grange, IL 605252221 | 7085794801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107912 | Mark Steven Collins | Marriage & Family Therapist | 140 Gregory Ln Ste 250, Pleasant Hill, CA 94523-3360 | 2020-09-05 |
| 1265897185 | Mark Collins | Physical Therapist | 635 Duquesne Blvd, Brick, NJ 08723-5073 | 2015-12-18 |
| 1376881086 | Mark A Collins | Counselor | 221 Beach 80th St, Apt 3c, Rockaway Beach, NY 11693-2002 | 2013-01-30 |
| 1497920672 | Mark Alan Collins | Dentist | 1501 E Camp Mohave Rd # 1, Fort Mohave, AZ 86426-9406 | 2008-04-28 |
| 1700935848 | Mark Wayne Collins | Orthotist | 2221 E Race Ave, Searcy, AR 72143-4727 | 2007-01-09 |
| 1295747368 | Mark Jerome Collins | Psychiatry & Neurology | 5940 E Copper Hill Dr, Suite B, Prescott Valley, AZ 86314-2860 | 2006-08-13 |
| 1558385278 | Mark Anthony Collins | Dentist | 3088 Appalachian Hwy Ste 2, Jacksboro, TN 37757-2526 | 2006-07-26 |
| 1508894882 | Mark E Collins | Family Medicine | 126 Biesterfield Rd, Elk Grove Village, IL 60007-3657 | 2006-06-28 |
| 1255368494 | Mark Collins | Internal Medicine | 10 Osterville - West Barnstable Rd, Osterville, MA 02655 | 2006-06-26 |
| 1982691945 | Mark Edward Collins | Emergency Medicine | 4590 W 121st Ave, Broomfield, CO 80020-5666 | 2005-10-04 |
| Street Address |
740 QUAIL RIDGE DR BLDG D |
| City | WESTMONT |
| State | IL |
| Zip Code | 60559-6148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578064317 | Thomas Patrick Hill | Behavior Technician | 740 Quail Ridge Dr Bldg D, Westmont, IL 60559-6148 | 2018-02-27 |
| 1922647379 | Megan Ryan Mateja | Behavior Technician | 740 Quail Ridge Dr Bldg D, Westmont, IL 60559-6148 | 2020-01-02 |
| 1053954529 | Rebecca Burk | Behavior Technician | 740 Quail Ridge Dr Bldg D, Westmont, IL 60559-6148 | 2019-10-28 |
| 1609436336 | Emelia Claire Nacyk | Behavior Technician | 740 Quail Ridge Dr Bldg D, Westmont, IL 60559-6148 | 2019-06-14 |
| 1548727753 | Tuane Ellis | Behavior Technician | 740 Quail Ridge Dr Bldg D, Westmont, IL 60559-6148 | 2019-02-24 |
| 1356805006 | Susan Owano | Behavioral Analyst | 740 Quail Ridge Dr Bldg D, Westmont, IL 60559-6148 | 2019-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
| 1528672581 | Kera C Evans | Counselor | 414 Plaza Dr. Suite 301, Westmont, IL 60559 | 2020-09-06 |
| 1912403023 | Bianca J Dassinger | Social Worker | 750 Pasquinelli Drive, #204, Westmont, IL 60559 | 2018-04-05 |
| 1689192163 | Jeannie Marie Gorman | Nutritionist | 310 W. Burlington Ave, Westmont, IL 60559 | 2017-09-05 |
| 1326563248 | Bethany Juby | Psychologist | 825 N Cass Ave Ste 112, Westmont, IL 60559 | 2017-08-11 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1093185209 | Kristin Kalivoda | Pharmacy Technician | 2 N. Cass Avenue, Westmont, IL 60559 | 2015-09-30 |
| 1780076679 | Katherine Celine Smith | Nurse Practitioner | 1010 Executive Drive, Suite 200, Westmont, IL 60559 | 2015-03-02 |
| 1841690898 | Kimberly Libby | Physical Therapist | 801 N Cass Ave Ste 100, Westmont, IL 60559 | 2014-08-27 |
| 1083036792 | Deborah Carsten | Counselor | 460 Quail Ridge Drive, Westmont, IL 60559 | 2014-01-15 |
| Find all providers in zip 60559 | ||||
| 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 |
|---|---|---|---|---|
| 1245830868 | Courtney Wall | Behavioral Analyst | 740 Quail Ridge Dr Unit D, Westmont, IL 60559-6148 | 2020-11-01 |
| 1356805006 | Susan Owano | Behavioral Analyst | 740 Quail Ridge Dr Bldg D, Westmont, IL 60559-6148 | 2019-01-28 |
| 1306321898 | Julia Edith Brown | Behavioral Analyst | 740 Quail Ridge Dr, Westmont, IL 60559-6148 | 2018-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083653 | A First Step Towards Hope Aba Services | Behavioral Analyst | 1711 N Autumn Dr, Joliet, IL 60431-8530 | 2020-11-05 |
| 1134729254 | Daniel Christopher Schmidt | Behavioral Analyst | 1500 N Clybourn Ave Unit 105, Chicago, IL 60610-3017 | 2020-10-28 |
| 1235738410 | Dejan Milic | Behavioral Analyst | 900 E Wilmette Rd Unit 108, Palatine, IL 60074-6485 | 2020-10-20 |
| 1811594138 | Jj Kelley Behavioral Consulting, LLC | Behavioral Analyst | 16561 Paulina St, Markham, IL 60428-5847 | 2020-10-08 |
| 1184221574 | Orion Aba Inc. | Behavioral Analyst | 1500 Eisenhower Ln Ste 300, Lisle, IL 60532-2132 | 2020-10-08 |
| 1982201356 | Songbird Health Il LLC | Behavioral Analyst | 2045 W Grand Ave, Chicago, IL 60612-1576 | 2020-10-07 |
| 1477160620 | Solid Ground Foundation for Behavioral Services | Behavioral Analyst | 2033 198th Street, Lynwood, IL 60411-6080 | 2020-09-30 |
| 1447866363 | Allison Gratz | Behavioral Analyst | 9139 S Commercial Ave, Chicago, IL 60617-4300 | 2020-09-16 |
| 1902411069 | Timeica E Bethel | Behavioral Analyst | 47 W Polk St Ste 100-240, Chicago, IL 60605-2000 | 2020-09-14 |
| 1982217931 | Jazmin Martinez | Behavioral Analyst | 6653 S Washtenaw Ave, Chicago, IL 60629-1717 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
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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.