MR. ERIC LEE WILEY (NPI# 1346705944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346705944 |
| Entity Type | Individual |
| Full Name | MR. ERIC LEE WILEY |
| Practice Address |
634 N Main St Ste 4 O Fallon IL 62269-3746 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 6187260701 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21600 Oxnard St Ste 1800, Woodland Hills, CA 913677807 | 8183452345 |
| Street Address |
634 N MAIN ST STE 4 |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-3746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992210272 | Alexzandra Brawley | Behavior Technician | 634 N Main St Ste 4, O Fallon, IL 62269-3746 | 2017-12-07 |
| 1841835733 | Candace Mary Amesquita | Behavior Technician | 634 N Main St Ste 4, O Fallon, IL 62269-3746 | 2019-11-14 |
| 1831730266 | Taylor'jode Markeya Luster | Behavior Technician | 634 N Main St Ste 4, O Fallon, IL 62269-3746 | 2019-10-07 |
| 1790336899 | Melissa Hug | Behavioral Analyst | 634 N Main St Ste 4, O Fallon, IL 62269-3746 | 2019-09-20 |
| 1023668126 | Brandy L Wagner | Behavior Technician | 634 N Main St Ste 4, O Fallon, IL 62269-3746 | 2019-09-19 |
| 1285283374 | Samantha C Eggemeyer | Behavior Technician | 634 N Main St Ste 4, O Fallon, IL 62269-3746 | 2019-09-10 |
| 1164078531 | Jayda Celeste Cordell | Behavior Technician | 634 N Main St Ste 4, O Fallon, IL 62269-3746 | 2019-08-12 |
| 1235785650 | Ashley Franklin | Behavior Technician | 634 N Main St Ste 4, O Fallon, IL 62269-3746 | 2019-08-12 |
| 1073166138 | Mya Donai Thompson | Behavior Technician | 634 N Main St Ste 4, O Fallon, IL 62269-3746 | 2019-07-18 |
| 1386204501 | Taylor Laing Barnes | Behavior Technician | 634 N Main St Ste 4, O Fallon, IL 62269-3746 | 2019-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| 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 |
|---|---|---|---|---|
| 1619432945 | Megan Abrahamian | Behavior Technician | 145 Springfield Ct, O Fallon, IL 62269-2495 | 2019-01-31 |
| 1992210272 | Alexzandra Brawley | Behavior Technician | 634 N Main St Ste 4, O Fallon, IL 62269-3746 | 2017-12-07 |
| 1831604412 | Melissa Norwood | Behavior Technician | 1201 Loblolly Ct, O Fallon, IL 62269-3480 | 2017-12-05 |
| 1588192272 | Michelle Lee Pedersen | Behavior Technician | 416 N Vine St, O Fallon, IL 62269-1341 | 2017-05-25 |
| 1790383131 | Suzannah Ashley Frazier | Behavior Technician | 6 Eagle Ctr, O Fallon, IL 62269-1945 | 2020-10-16 |
| 1699373845 | Nicole Ann Strubinger | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-10-10 |
| 1932715232 | Shaionica Dashell Brown | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-09-22 |
| 1275148470 | Gwendolyn Musick | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-09-14 |
| 1598370843 | Danielle Ditterline | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-09-14 |
| 1710592092 | Tremiya Renae Winbush | Behavior Technician | 6 Eagle Ctr Ste 1, O Fallon, IL 62269-1945 | 2020-09-13 |
| Find all providers in O FALLON | ||||
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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.