KATRINA PARKS RENZAGLIA (NPI# 1326664038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326664038 |
| Entity Type | Individual |
| Full Name | KATRINA PARKS RENZAGLIA |
| Credential | BCBA |
| Practice Address |
87 Harris Ln Alto Pass IL 62905-1023 |
| Practice Telephone | 6185215049 |
| Mailing Telephone | 6185215049 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-13-13542 | IL | Behavioral Health & Social Service Providers |
| Street Address |
87 HARRIS LN |
| City | ALTO PASS |
| State | IL |
| Zip Code | 62905-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184135063 | Christine Ann Evans | Early Intervention Provider Agency | 200 Walnut St, Alto Pass, IL 62905 | 2017-10-18 |
| 1669595146 | Julie Draper | Speech-Language Pathologist | 610 Lake Dr, Alto Pass, IL 62905-1015 | 2007-04-09 |
| 1780605188 | Sandra J Evans | Nurse Anesthetist, Certified Registered | 117 Timberline Trl, Alto Pass, IL 62905-2024 | 2006-07-21 |
| 1437606415 | Southern Illinois Mobility, LLC | Durable Medical Equipment & Medical Supplies | 1020 Lyerla Ln, Alto Pass, IL 62905-3015 | 2016-09-07 |
| 1467808584 | Tashia I Fox | Registered Nurse | 1545 Milligan Hill Rd, Alto Pass, IL 62905-3072 | 2016-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437606415 | Southern Illinois Mobility, LLC | Durable Medical Equipment & Medical Supplies | 1020 Lyerla Ln, Alto Pass, IL 62905-3015 | 2016-09-07 |
| 1467808584 | Tashia I Fox | Registered Nurse | 1545 Milligan Hill Rd, Alto Pass, IL 62905-3072 | 2016-05-07 |
| 1669595146 | Julie Draper | Speech-Language Pathologist | 610 Lake Dr, Alto Pass, IL 62905-1015 | 2007-04-09 |
| 1780605188 | Sandra J Evans | Nurse Anesthetist, Certified Registered | 117 Timberline Trl, Alto Pass, IL 62905-2024 | 2006-07-21 |
| 1184135063 | Christine Ann Evans | Early Intervention Provider Agency | 200 Walnut St, Alto Pass, IL 62905 | 2017-10-18 |
| 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 |
| 1245830868 | Courtney Wall | Behavioral Analyst | 740 Quail Ridge Dr Unit D, Westmont, IL 60559-6148 | 2020-11-01 |
| 1134729254 | Daniel Christopher Schmidt | Behavioral Analyst | 1500 N Clybourn Ave Unit 105, Chicago, IL 60610-3017 | 2020-10-28 |
| 1235738410 | Dejan Milic | Behavioral Analyst | 900 E Wilmette Rd Unit 108, Palatine, IL 60074-6485 | 2020-10-20 |
| 1811594138 | Jj Kelley Behavioral Consulting, LLC | Behavioral Analyst | 16561 Paulina St, Markham, IL 60428-5847 | 2020-10-08 |
| 1184221574 | Orion Aba Inc. | Behavioral Analyst | 1500 Eisenhower Ln Ste 300, Lisle, IL 60532-2132 | 2020-10-08 |
| 1982201356 | Songbird Health Il LLC | Behavioral Analyst | 2045 W Grand Ave, Chicago, IL 60612-1576 | 2020-10-07 |
| 1477160620 | Solid Ground Foundation for Behavioral Services | Behavioral Analyst | 2033 198th Street, Lynwood, IL 60411-6080 | 2020-09-30 |
| 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 |
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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.