KATARINA KROKKEROVA (NPI# 1225562192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225562192 |
| Entity Type | Individual |
| Full Name | KATARINA KROKKEROVA |
| Practice Address |
2460 Riva Ridge Rd Montgomery IL 60538-3408 |
| Practice Telephone | 6309990401 |
| Mailing Telephone | 6309990401 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 17-30714 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RBT | 17-30714 | 01 |
| Street Address |
2460 RIVA RIDGE RD |
| City | MONTGOMERY |
| State | IL |
| Zip Code | 60538-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447594296 | Kristina Nancy Hajek | Physician Assistant | 1851 Douglas Road, Montgomery, IL 60538 | 2012-11-17 |
| 1003025248 | Matthew Thomas Neu | Preventive Medicine | 325 Route 31, Caterpillar Inc, Medical Division, Montgomery, IL 60538 | 2007-05-22 |
| 1477761567 | West Suburban Dental Care, Ltd. | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-20 |
| 1093834079 | David D Leger | Chiropractor | 2100 Baseline Rd, Montgomery, IL 60538 | 2007-03-28 |
| 1790816650 | Tina Elizabeth Sunderland | Specialist/Technologist | 22 Ashlawn Ave, Montgomery, IL 60538 | 2007-03-09 |
| 1720126535 | Nicholas George Tzanetakos | Family Medicine | 99 Boulder Hill Pass, Montgomery, IL 60538 | 2007-02-02 |
| 1184638603 | Neil Stewart Schlupp | Chiropractor | 212 Webster Street, Montgomery, IL 60538 | 2006-07-28 |
| 1275570061 | Ridge Ambulance Service Inc | Ambulance | 1851 Aucutt Rd, Montgomery, IL 60538 | 2006-06-01 |
| 1487855839 | Linda Gioia Arrich | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-31 |
| 1750508339 | Michael Harry Kontos | Dentist | 20 Boulder Hill Pass, Montgomery, IL 60538 | 2007-04-18 |
| Find all providers in zip 60538 | ||||
| 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 |
|---|---|---|---|---|
| 1982221487 | Dorothy Breske | Behavior Technician | 2669 Caliendo Cir, Montgomery, IL 60538-4013 | 2020-06-30 |
| 1699308379 | Chloe Morgan Kaminski | Behavior Technician | 32 Greenfield Rd, Montgomery, IL 60538-2314 | 2020-02-20 |
| 1982252797 | Arynn Troupe | Behavior Technician | 1320 Carmichael Way, Montgomery, AL 36106-3691 | 2019-08-27 |
| 1184114563 | Katelyn Nicole Herndon | Behavior Technician | 45 Hunter Dr, Montgomery, IL 60538-2059 | 2018-05-11 |
| 1851992937 | Johnnaca Reed | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-11-04 |
| 1124633458 | Carliesha Terrell | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-09-14 |
| 1912512898 | Gina Merrill Harp | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-09-09 |
| 1013535459 | Robert J Pickens | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-07-13 |
| 1417572470 | Laura Fontil | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-06-15 |
| 1386269645 | Raven N. Williams | Behavior Technician | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2020-06-12 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 60538 |
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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.