BRAVO BEHAVIORAL HEALTH LLC


Address: 8140 Mccormick Blvd Ste 141, Skokie, IL 60076-2920
Phone: 8332728624

BRAVO BEHAVIORAL HEALTH LLC (NPI# 1215413224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215413224
Entity Type Organization
Organization Name BRAVO BEHAVIORAL HEALTH LLC
Practice Address 8140 Mccormick Blvd Ste 141
Skokie
IL 60076-2920
Practice Telephone 8332728624
Enumeration Date 2018-07-12
Last Update Date 2018-07-12
Authorized Official Name MARK HARTMAN (CEO)
Authorized Official Telephone 8332728624
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 106E00000X Assistant Behavior Analyst Behavioral Health & Social Service Providers
N 106S00000X Behavior Technician Behavioral Health & Social Service Providers
N 2084B0040X Psychiatry & Neurology
Specialization: Behavioral Neurology & Neuropsychiatry
Allopathic & Osteopathic Physicians
N 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
Allopathic & Osteopathic Physicians
N 2084P0005X Psychiatry & Neurology
Specialization: Neurodevelopmental Disabilities
Allopathic & Osteopathic Physicians
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 8140 MCCORMICK BLVD STE 141
City SKOKIE
State IL
Zip Code 60076-2920

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NPI Name Taxonomy Address Enumeration
1902456999 Gateway Foundation, Inc Clinic/Center 4028 W. Dempster, Ste 100, Skokie, IL 60076 2019-09-12
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1689228157 Elaine Ng Pharmacist 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 2019-08-01
1881169381 Kathleen Pyles Registered Nurse 9650 Gross Point Rd # 4900, Skokie, IL 60076 2018-10-10
1174013452 Vitae Health of Illinois LLC Social Worker 3450 Oakton St, Skokie, IL 60076 2018-05-13
1396253530 Jodi Novick Okner Social Worker 9134 Kilbourn Avenue, Skokie, IL 60076 2018-01-22
1700335924 Olumide Adeyemo Nurse Practitioner 4711 Golf Rd Suite 1250, Skokie, IL 60076 2016-09-28
1255705315 Malka Rokach Pharmacist 3358 W Touhy, Skokie, IL 60076 2015-11-30
1578932620 Katrina Margaret Keithley Physician Assistant 9669 Kenton Ave Ste 203, Skokie, IL 60076 2015-09-18
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225673858 Christine Rose Witt Behavioral Analyst 5246 Palma Pl, Skokie, IL 60077-1120 2019-11-07
1003466186 Marissa Bennett Consulting, LLC Behavioral Analyst 9309 Lockwood Ave, Skokie, IL 60077-1139 2019-09-19
1841754793 Isela Blanca Stephens Behavioral Analyst 9031 Knox Ave Apt Eg, Skokie, IL 60076-1582 2019-01-24
1831618586 Katie Giovanetto Behavioral Analyst 8707 Skokie Blvd Bldg Suite402, Skokie, IL 60077-2269 2017-09-13
1679093173 Lindsay R Fettner Behavioral Analyst 5225 Old Orchard Rd Ste 15, Skokie, IL 60077-1027 2017-06-26
1861921827 Skyelar Love Behavioral Analyst 4711 Golf Rd Ste 100, Skokie, IL 60076-1239 2017-06-05
1114272127 Margarita Metoyer-rodriguez Behavioral Analyst 9327 Lavergne Ave, Skokie, IL 60077-1315 2012-07-16
1912267394 Cicely Y Jiron Behavioral Analyst 9537 Keeler Ave, Skokie, IL 60076-1444 2012-05-21
1265764203 Aisha Daniele Shealey Behavioral Analyst 7670 Marmora Ave, Skokie, IL 60077-2628 2010-02-02
1003007550 Brooke Ellyn Schneider Behavioral Analyst 4000 Grove St, Suite 200, Skokie, IL 60076-1712 2007-08-08
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Competitor

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City SKOKIE
Zip Code 60076

Improve Information

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Dataset Information

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.

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