TIFFANY HALL (NPI# 1255970950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255970950 |
| Entity Type | Individual |
| Full Name | TIFFANY HALL |
| Practice Address |
85 Revere Dr Ste Aa Northbrook IL 60062-8001 |
| Practice Telephone | 8473069843 |
| Mailing Telephone | 8473069843 |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375352 | Tiffany Lauren Hall | Nurse Practitioner | 308 W Rock Island, Boyd, TX 76023 | 2020-10-30 |
| 1265047880 | Tiffany Ann Hall | Technician | 200 Vicie Newsome Road, Kermit, WV 25674 | 2020-09-10 |
| 1699387662 | Tiffany Ann Hall | Technician | 1883 Highway 2037, Louisa, KY 41230-8266 | 2020-08-20 |
| 1538784707 | Tiffany Cherie Hall | Counselor | 1219 10th St, Eureka, CA 95501-2024 | 2020-06-12 |
| 1164043451 | Tiffany Hall | Chiropractor | 4217 Swiss Ave Apt 326, Dallas, TX 75204-6683 | 2020-04-28 |
| 1093090748 | Tiffany Danielle Hall | Counselor | 3410 Healy Dr Ste 201c, Winston Salem, NC 27103-1568 | 2011-10-13 |
| 1184894834 | Tiffany Hall | Counselor | 700 Stone Lion Dr, Apt 735, Durham, NC 27703-6171 | 2008-03-10 |
| 1598780546 | Tiffany Hall | Internal Medicine | 3725 Champion Hills Dr Ste 2000, Memphis, TN 38125-0502 | 2006-07-12 |
| 1659377059 | Tiffany N Hall | Obstetrics & Gynecology | 3050 Mack Rd Ste 375, Fairfield, OH 45014-5378 | 2005-06-22 |
| 1396351052 | Tiffany T Hall | Counselor | 4023 Marine Ave, Lawndale, CA 90260-1840 | 2020-09-18 |
| Street Address |
85 REVERE DR STE AA |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487892741 | Lyndsay Rae Sarra | Behavioral Analyst | 85 Revere Dr Ste Aa, Northbrook, IL 60062-8001 | 2009-01-25 |
| 1760959506 | Johana Liset Avila | Behavior Technician | 85 Revere Dr Ste Aa, Northbrook, IL 60062-8001 | 2018-10-30 |
| 1912366345 | Ivy Amelia Domont | Behavioral Analyst | 85 Revere Dr Ste Aa, Northbrook, IL 60062-8001 | 2016-02-12 |
| 1811363542 | Adam Lobermeier | Behavioral Analyst | 85 Revere Dr Ste Aa, Northbrook, IL 60062-8001 | 2015-08-17 |
| 1104258508 | Tiffany Toepper | Behavioral Analyst | 85 Revere Dr Ste Aa, Northbrook, IL 60062-8001 | 2013-08-07 |
| 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 | 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 |
|---|---|---|---|---|
| 1396386264 | Pamela Jeaninne Krolik | Behavior Technician | 5 Revere Dr Ste 126, Northbrook, IL 60062-1566 | 2019-10-02 |
| 1265090526 | Kate Elizabeth Voss | Behavior Technician | 3480 Merle Ln, Northbrook, IL 60062-7114 | 2019-06-03 |
| 1205492717 | Wendy J Wallace | Behavior Technician | 5 Revere Dr Ste 5120, Northbrook, IL 60062-1566 | 2019-05-10 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1699232983 | Abiodun Ogunsola | Behavior Technician | 5 Revere Dr Ste 210, Northbrook, IL 60062-1566 | 2019-02-22 |
| 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 |
| 1043795297 | Charlotte T Close | Behavior Technician | 5 Revere Dr Ste 102, Northbrook, IL 60062-1567 | 2018-10-03 |
| 1811470370 | Matthew Jeffrey Soloway | Behavior Technician | 5 Revere Dr Ste 1205, Northbrook, IL 60062-1566 | 2018-09-11 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
Please comment or provide details below to improve the information on TIFFANY HALL.
| 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.