DINA GOOCH (NPI# 1225691942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225691942 |
| Entity Type | Individual |
| Full Name | DINA GOOCH |
| Practice Address |
777 Joyce Rd Joliet IL 60436-1876 |
| Practice Telephone | 8156711460 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
777 JOYCE RD |
| City | JOLIET |
| State | IL |
| Zip Code | 60436-1876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205816345 | Cornerstone Services Inc | Clinic/Center | 777 Joyce Rd, Joliet, IL 60436-1876 | 2006-01-17 |
| 1619439197 | Jeshona Iman Averett Butler | Assistant Behavior Analyst | 777 Joyce Rd, Joliet, IL 60436-1876 | 2019-04-03 |
| 1477044816 | Hope Alyce Merritt | Behavioral Analyst | 777 Joyce Rd, Joliet, IL 60436-1876 | 2018-05-22 |
| 1972091486 | Shanice Harvey | Behavioral Analyst | 777 Joyce Rd, Joliet, IL 60436-1876 | 2018-04-30 |
| 1629425905 | Holly Berry Wesley | Behavioral Analyst | 777 Joyce Rd, Joliet, IL 60436-1876 | 2016-05-17 |
| 1124474978 | Cornerstone Services | Non-emergency Medical Transport (VAN) | 777 Joyce Rd, Joliet, IL 60436-1876 | 2016-05-11 |
| 1033584016 | Kristin Agnew | Clinic/Center | 777 Joyce Rd, Joliet, IL 60436-1876 | 2015-12-02 |
| 1003280553 | Teresa Marie Abels | Clinic/Center | 777 Joyce Rd, Joliet, IL 60436-1876 | 2015-11-20 |
| 1588004212 | Tamra Jetter | Behavioral Analyst | 777 Joyce Rd, Joliet, IL 60436-1876 | 2013-06-26 |
| 1629413893 | Kathryn Vuckovich | Behavioral Analyst | 777 Joyce Rd, Joliet, IL 60436-1876 | 2013-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431345 | Tiffanie Mcnair | Nurse's Aide | 306 Romayne Ave, Joliet, IL 60436 | 2017-07-28 |
| 1366964215 | Pamela Coney | Licensed Practical Nurse | 916 Prairie Path Ln, Joliet, IL 60436 | 2017-07-12 |
| 1104375815 | Cynthia Sylvia | Licensed Practical Nurse | 211 S. Hunter Ave, Joliet, IL 60436 | 2016-09-23 |
| 1760804629 | Center for Disability Services | Day Training, Developmentally Disabled Services | 311 S Reed St, Joliet, IL 60436 | 2014-01-13 |
| 1215247093 | Sadra Rae West | Developmental Therapist | 807 Thorn Creek Drive, Joliet, IL 60436 | 2010-10-14 |
| 1033360136 | Tonya Hagenbaumer | Dietitian, Registered | 2025 S. Chicago Street, Joliet, IL 60436 | 2008-10-07 |
| 1699966051 | Kul Sood | General Practice | 95 S Chicago St, Joliet, IL 60436 | 2007-08-09 |
| 1053410407 | Yatin M Shah Md Sc | Medical Genetics, Ph.D. Medical Genetics | 2025 S Chicago Street, Joliet, IL 60436 | 2006-09-22 |
| 1821103755 | Victoria L Mancke | Nurse Practitioner | 2025s Chicago St, Joliet, IL 60436 | 2006-08-20 |
| 1790750412 | Maria L Ramirez | Occupational Therapist | 709 Margaret St, Rockdale, IL 60436 | 2006-02-17 |
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| 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 |
|---|---|---|---|---|
| 1760083653 | A First Step Towards Hope Aba Services | Behavioral Analyst | 1711 N Autumn Dr, Joliet, IL 60431-8530 | 2020-11-05 |
| 1235756347 | Kendall Papa | Behavioral Analyst | 2601 Campbell St, Joliet, IL 60435-6407 | 2020-07-06 |
| 1043830680 | Keri Alyse Jackson | Behavioral Analyst | 3411 Grass Lake Dr, Joliet, IL 60435-8799 | 2020-04-23 |
| 1003365073 | Ashley Nelson | Behavioral Analyst | 501 N Raynor Ave, Joliet, IL 60435-6025 | 2016-09-30 |
| 1093190134 | Joshua Robert Brehn | Behavioral Analyst | 777 Joyce Rd Unit B, Joliet, IL 60436-1878 | 2015-07-29 |
| 1295059772 | Jessica Lynn Fouch | Behavioral Analyst | 2401 W Jefferson St, Joliet, IL 60435-6428 | 2010-03-26 |
| 1134736895 | Kenneth John Shields Jr. | Behavioral Analyst | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-09-28 |
| 1669089231 | Lauren Composto | Behavioral Analyst | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-09-28 |
| 1033730791 | Autism Support Chicago LLC | Behavioral Analyst | 401 Burke Dr, Joliet, IL 60433-2113 | 2020-05-04 |
| 1184190746 | Margaret Emma Hoeltje | Behavioral Analyst | 750 Essington Rd, Joliet, IL 60435-4912 | 2018-10-22 |
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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.