JACKIE RAYYAN (NPI# 1366943672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366943672 |
| Entity Type | Individual |
| Full Name | JACKIE RAYYAN |
| Practice Address |
917 Sherwood Drive, Suite 201 Lake Bluff IL 60048 |
| Mailing Address |
950 Lee Street, Suite 210 Des Plaines IL 60016 |
| Practice Telephone | 8774864140 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-17-42708 | IL | Behavioral Health & Social Service Providers |
| Street Address |
917 SHERWOOD DRIVE, SUITE 201 |
| City | LAKE BLUFF |
| State | IL |
| Zip Code | 60048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| 1265815161 | Handi Products, Inc. | Durable Medical Equipment & Medical Supplies | 510 North Avenue, Libertyville, IL 60048 | 2015-07-09 |
| Find all providers in zip 60048 | ||||
| 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 |
|---|---|---|---|---|
| 1255952966 | Priya Shah | Behavior Technician | 917 Sherwood Dr Ste 210, Lake Bluff, IL 60044-2224 | 2020-05-04 |
| 1417574575 | Nicole Denman | Behavior Technician | 917 Sherwood Dr Ste 201, Lake Bluff, IL 60044-2235 | 2020-07-06 |
| 1538786058 | Patricia Cordoba | Behavior Technician | 917 Sherwood Dr Ste 201, Lake Bluff, IL 60044-2235 | 2020-06-30 |
| 1588294508 | Jan R Langton | Behavior Technician | 917 Sherwood Dr Ste 201, Lake Bluff, IL 60044-2235 | 2020-01-17 |
| 1013562826 | Annalyn Cabilangan Constantine | Behavior Technician | 917 Sherwood Dr, Lake Bluff, IL 60044-2224 | 2019-08-08 |
| 1790337277 | Abygail Rocio Perez | Behavior Technician | 917 Sherwood Dr Ste 201, Lake Bluff, IL 60044-2235 | 2019-07-15 |
| 1669944674 | Rachael Girmscheid | Behavior Technician | 917 Sherwood Dr Ste 201, Lake Bluff, IL 60044-2235 | 2019-01-02 |
| 1093287344 | Wanda Ivette Trejo | Behavior Technician | 917 Sherwood Dr Ste 201, Lake Bluff, IL 60044-2235 | 2018-12-27 |
| 1326518044 | Abigail Girgis | Behavior Technician | 917 Sherwood Dr Ste 201, Lake Bluff, IL 60044-2235 | 2018-11-26 |
| 1750875985 | Alexandra Salaiza | Behavior Technician | 917 Sherwood Dr Ste 201, Lake Bluff, IL 60044-2224 | 2018-06-20 |
| Find all providers in LAKE BLUFF | ||||
| City | LAKE BLUFF |
| Zip Code | 60048 |
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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.