UDUAKOBONG WILSON (NPI# 1215588561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215588561 |
| Entity Type | Individual |
| Full Name | UDUAKOBONG WILSON |
| Practice Address |
5848 S Michigan Ave Apt 3w Chicago IL 60637-1171 |
| Practice Telephone | 8473069843 |
| Mailing Telephone | 8473069843 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Gender Code | M |
| 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 |
5848 S MICHIGAN AVE APT 3W |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| 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 |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1154928430 | Lenia Harris | Behavior Technician | 6353 S Rockwell St, Chicago, IL 60629-1631 | 2020-10-08 |
| 1316552813 | Yasmin Muhammad | Behavior Technician | 113 W 112th Pl, Chicago, IL 60628-4829 | 2020-09-11 |
| 1093323578 | Jasmine Wilson | Behavior Technician | 7936 S Constance Ave, Chicago, IL 60617-1025 | 2020-07-21 |
| 1831707926 | Ronald Sandridge | Behavior Technician | 4002 N Kenmore Ave Apt 3e, Chicago, IL 60613-2090 | 2020-07-15 |
| 1477170736 | Lynnquell Gardiner | Behavior Technician | 4546 N Damen Ave, Chicago, IL 60625-1613 | 2020-07-01 |
| 1891312476 | Ariana Giselle Garcia | Behavior Technician | 1734 N Newland Ave, Chicago, IL 60707-4409 | 2020-06-30 |
| 1902423692 | Nicole Militello | Behavior Technician | 1921 W Irving Park Rd Apt 3, Chicago, IL 60613-2407 | 2020-06-29 |
| 1083230874 | Zuzanna Koscielniak | Behavior Technician | 5123 S Laporte Ave, Chicago, IL 60638-3010 | 2020-06-17 |
| 1851916399 | Donisha N Coleman | Behavior Technician | 5703 S Elizabeth St, Chicago, IL 60636-1906 | 2020-06-10 |
| Find all providers in CHICAGO | ||||
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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.