AMANDA PUNG (NPI# 1225506637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225506637 |
| Entity Type | Individual |
| Full Name | AMANDA PUNG |
| Practice Address |
650 W Grand Ave Ste 150 Elmhurst IL 60126-1043 |
| Practice Telephone | 8442631613 |
| Practice Fax Number | 8442631612 |
| Mailing Telephone | 8442631613 |
| Mailing Fax Number | 8442631612 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699844571 | Amanda Rose Pung | Physician Assistant | 319 W Delaware St, Decatur, MI 49045-1106 | 2006-11-07 |
| Street Address |
650 W GRAND AVE STE 150 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| 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 |
|---|---|---|---|---|
| 1083247704 | Zainab Ahmed | Behavior Technician | 915 N York St Apt 405, Elmhurst, IL 60126-1274 | 2020-02-20 |
| 1275092165 | Angelica Maria Fredes | Behavior Technician | 8950 56th Ave Apt 5u, Elmhurst, NY 11373-4906 | 2019-03-19 |
| 1174009328 | Theresa Murata | Behavior Technician | 757 N Geneva Ave, Elmhurst, IL 60126-1721 | 2018-07-11 |
| 1073005690 | Jasmin Demarco | Behavior Technician | 371 N Kenilworth Ave, Elmhurst, IL 60126-2435 | 2018-05-30 |
| 1477043669 | December Mccracken | Behavior Technician | 109 S Oakland Grv, Elmhurst, IL 60126-3011 | 2018-05-14 |
| 1629568985 | Sherine Kollamana | Behavior Technician | 714 N Van Auken St, Elmhurst, IL 60126-1732 | 2018-05-12 |
| 1801386172 | Mary-margaret Mcnicholas | Behavior Technician | 645 S Hillcrest Ave, Elmhurst, IL 60126-4617 | 2018-05-12 |
| 1528666302 | Aimee Veloria | Behavior Technician | 650 W Grand Ave Ste 207, Elmhurst, IL 60126-1025 | 2020-10-13 |
| 1134737935 | Kylie Mcgrenera | Behavior Technician | 650 W Grand Ave Ste 207, Elmhurst, IL 60126-1025 | 2020-07-17 |
| 1770103269 | Aleksandra Kostic | Behavior Technician | 650 W Grand Ave Ste 207, Elmhurst, IL 60126-1025 | 2020-04-24 |
| Find all providers in ELMHURST | ||||
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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.