JENNIFER HERNDON


Address: 1765 N Elston Ave, Chicago, IL 60642-1501
Phone: 7736207800

JENNIFER HERNDON (NPI# 1326511544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326511544
Entity Type Individual
Full Name JENNIFER HERNDON
Credential BCBA
Practice Address 1765 N Elston Ave
Chicago
IL 60642-1501
Practice Telephone 7736207800
Mailing Telephone 3146034144
Enumeration Date 2019-01-10
Last Update Date 2019-01-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-18-32147 IL Behavioral Health & Social Service Providers

Other Providers JENNIFER HERNDON

NPI Name Taxonomy Address Enumeration
1265092795 Jennifer Randazzo Herndon Counselor 777 N 1st St Ste 444, San Jose, CA 95112-6339 2019-06-17
1851845598 Jennifer Parks Herndon Counselor 1430 South High Street, Suite 112, Columbus, OH 43207 2016-08-11
1255725859 Jennifer A. Herndon Occupational Therapist 524 N Laura St, Maryville, MO 64468-1955 2015-03-23
1720229974 Jennifer N Herndon Physical Therapist 300 Schuylkill Medical Plz, Pottsville, PA 17901-3668 2009-03-18
1629217690 Jennifer Rhae Herndon Physician Assistant 300 1st Capitol Dr, Saint Charles, MO 63301-2844 2009-02-13

Office Location

Street Address 1765 N ELSTON AVE
City CHICAGO
State IL
Zip Code 60642-1501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831139344 Meyer Horn Dermatology 1765 N Elston Ave, Suite 110, Chicago, IL 60642-1501 2006-06-07
1629676481 Donna Bagdasarian Physical Therapist 1765 N Elston Ave, Chicago, IL 60642-1501 2020-10-14
1366056053 Elizabeth Lorentzen Speech-Language Pathologist 1765 N Elston Ave, Chicago, IL 60642-1501 2020-09-01
1023620754 Emily Ann Marie Firmiss Speech-Language Pathologist 1765 N Elston Ave, Chicago, IL 60642-1501 2020-08-24
1508406380 Justine Rae Boudreau Behavioral Analyst 1765 N Elston Ave, Suite 206, Chicago, IL 60642-1501 2020-01-09
1629618673 Caitlin O'connor Speech-Language Pathologist 1765 N Elston Ave, Chicago, IL 60642-1501 2020-01-07
1831564848 Natalie Theriault Nurse Practitioner 1765 N Elston Ave, Suite 110, Chicago, IL 60642-1501 2015-12-02
1053552240 Monica Rani Dermatology 1765 N Elston Ave, Suite 1600, Chicago, IL 60642-1501 2009-03-17
1376701623 Emily L Arch Dermatology 1765 N Elston Ave, Suite 110, Chicago, IL 60642-1501 2008-05-22
1386777241 Dermatology and Aesthetics of Wicker Park, LLC Specialist 1765 N Elston Ave, Suite 110, Chicago, IL 60642-1501 2007-03-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134612542 Lauren Gregorcy Social Worker 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 2018-06-11
1811409030 Athletico Ltd Physical Therapist 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 2017-10-27
1346759693 Rachel Sherron Counselor 938 N Elston, #1, Chicago, IL 60642 2017-09-28
1639612831 Empathic Resonance, LLC Clinic/Center 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 2016-11-21
1053867317 D Jamieson Brady Dentist 1249 N Greenview Ave Apt 1, Chicago, IL 60642 2016-08-28
1548646508 Kathryn Lee Massage Therapist 742 N Ada St, Unit 1, Chicago, IL 60642 2015-07-31
1497149694 Neda Bahrani Family Medicine 1460 N Halsted St Ste 401, Chicago, IL 60642 2015-03-25
1326439431 Sarah Perez Counselor 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 2015-02-11
1780097105 Michael Sotiriou Dermatology 1765 N Elston Ave Ste 110, Chicago, IL 60642 2014-06-03
1285067876 Tyler Pere Choate Speech-Language Pathologist 400 N. May Street, Chicago, IL 60642 2013-08-19
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134729254 Daniel Christopher Schmidt Behavioral Analyst 1500 N Clybourn Ave Unit 105, Chicago, IL 60610-3017 2020-10-28
1982201356 Songbird Health Il LLC Behavioral Analyst 2045 W Grand Ave, Chicago, IL 60612-1576 2020-10-07
1447866363 Allison Gratz Behavioral Analyst 9139 S Commercial Ave, Chicago, IL 60617-4300 2020-09-16
1902411069 Timeica E Bethel Behavioral Analyst 47 W Polk St Ste 100-240, Chicago, IL 60605-2000 2020-09-14
1982217931 Jazmin Martinez Behavioral Analyst 6653 S Washtenaw Ave, Chicago, IL 60629-1717 2020-08-28
1215547666 Morgan Campo Behavioral Analyst 1241 W Draper St Fl 1, Chicago, IL 60614-2118 2020-07-31
1740807338 Brittany Tayla Silvers Behavioral Analyst 520 N Kingsbury St Unit 1107, Chicago, IL 60654-8770 2020-06-29
1578182036 Il Sprout Mc 1 LLC Behavioral Analyst 1440 W Taylor St # 1173, Chicago, IL 60607-4623 2020-04-14
1811522097 Edaliz O'bear Behavioral Analyst 2454 N Lockwood Ave, Chicago, IL 60639-1408 2020-03-07
1265066617 Dynamic Pediatric Therapies Behavioral Analyst 1221 N La Salle Dr Unit 2f, Chicago, IL 60610-2945 2020-02-25
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Competitor

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City CHICAGO
Zip Code 60642

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Dataset Information

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.

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