MS. MAIA MARIE EASLEY (NPI# 1235693128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235693128 |
| Entity Type | Individual |
| Full Name | MS. MAIA MARIE EASLEY |
| Credential | BCBA |
| Practice Address |
5 Revere Dr Ste 120 Northbrook IL 60062-8005 |
| Mailing Address |
619 S Lasalle Street Apartment 712 Chicago IL 60605 |
| Practice Telephone | 8442028855 |
| Practice Fax Number | 8473483706 |
| Mailing Telephone | 4144033950 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-18-34116 | IL | Behavioral Health & Social Service Providers |
| Street Address |
5 REVERE DR STE 120 |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538336193 | Elnora S Jefferson | Specialist/Technologist | 5 Revere Dr Ste 120, Northbrook, IL 60062 | 2008-05-13 |
| 1821699109 | Renee Morrison | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-11-04 |
| 1225648389 | Shelby Reed | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-08-04 |
| 1194334995 | Veida Ferran Shockey | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-07-28 |
| 1114536059 | Alexa Laurel Zaino | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-07-27 |
| 1205444080 | Madison Kay Markham | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-07-17 |
| 1174131114 | Ashlyn Venturelli | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-07-15 |
| 1679191100 | Josephine M Kannenberg | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-07-10 |
| 1356969919 | Kristin Elizabeth Kadolph | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-07-10 |
| 1730707498 | Jacob Sauce | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| 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 |
|---|---|---|---|---|
| 1346704798 | Cassidy Marie Knobloch | Behavioral Analyst | 5 Revere Dr Ste 250, Northbrook, IL 60062-1566 | 2019-01-29 |
| 1639677933 | Mallory Gulling | Behavioral Analyst | 95 Revere Dr, Northbrook, IL 60062-1585 | 2018-02-01 |
| 1710364591 | Ivy Weingardt | Behavioral Analyst | 613 Michelline Ln, Northbrook, IL 60062-2117 | 2015-04-30 |
| 1881000305 | Stephanie Ciaravolo | Behavioral Analyst | 1235 Sunset Ridge Rd, Northbrook, IL 60062-4803 | 2014-07-03 |
| 1487892741 | Lyndsay Rae Sarra | Behavioral Analyst | 85 Revere Dr Ste Aa, Northbrook, IL 60062-8001 | 2009-01-25 |
| 1518512151 | Jeffery Elliott | Behavioral Analyst | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2019-08-08 |
| 1205497344 | Rachel Johnson | Behavioral Analyst | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2019-06-27 |
| 1053870030 | Eva E Ochs | Behavioral Analyst | 5 Revere Dr, Northbrook, IL 60062-1566 | 2019-03-18 |
| 1821566274 | Jennifer Risa Krentzman | Behavioral Analyst | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2018-11-04 |
| 1972078392 | Kelly Marie Goodwin | Behavioral Analyst | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2018-10-11 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
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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.