CARISSA SHOULTZ (NPI# 1396234894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396234894 |
Entity Type | Individual |
Full Name | CARISSA SHOULTZ |
Credential | RBT-17-38260 |
Practice Address |
2602 N Saint Louis Ave # 3 Chicago IL 60647-1216 |
Practice Telephone | 6083452474 |
Mailing Telephone | 6083452474 |
Enumeration Date | 2018-05-09 |
Last Update Date | 2018-05-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | 17-38260 | IL | Behavioral Health & Social Service Providers |
Street Address |
2602 N SAINT LOUIS AVE # 3 |
City | CHICAGO |
State | IL |
Zip Code | 60647-1216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
1992297535 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 | 2018-05-30 |
1942704580 | Team Rehabilitation Il15, LLC | Physical Therapist | 1923 N Western Avenue, Chicago, IL 60647 | 2018-03-20 |
1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
1023537693 | Erin Frommeyer | Physician Assistant | 2228 W Dickens Avenue, Chicago, IL 60647 | 2017-09-15 |
1457872475 | Stefanie Paola Maurtua | Behavioral Analyst | 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 | 2017-06-29 |
1700322922 | Lumen Optical Illinois 4, LLC | Optometrist | 2420 N Elston, Bucktown, IL 60647 | 2017-01-11 |
Find all providers in zip 60647 |
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 |
---|---|---|---|---|
1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
1154928430 | Lenia Harris | Behavior Technician | 6353 S Rockwell St, Chicago, IL 60629-1631 | 2020-10-08 |
1316552813 | Yasmin Muhammad | Behavior Technician | 113 W 112th Pl, Chicago, IL 60628-4829 | 2020-09-11 |
1093323578 | Jasmine Wilson | Behavior Technician | 7936 S Constance Ave, Chicago, IL 60617-1025 | 2020-07-21 |
1831707926 | Ronald Sandridge | Behavior Technician | 4002 N Kenmore Ave Apt 3e, Chicago, IL 60613-2090 | 2020-07-15 |
1477170736 | Lynnquell Gardiner | Behavior Technician | 4546 N Damen Ave, Chicago, IL 60625-1613 | 2020-07-01 |
1891312476 | Ariana Giselle Garcia | Behavior Technician | 1734 N Newland Ave, Chicago, IL 60707-4409 | 2020-06-30 |
1902423692 | Nicole Militello | Behavior Technician | 1921 W Irving Park Rd Apt 3, Chicago, IL 60613-2407 | 2020-06-29 |
1083230874 | Zuzanna Koscielniak | Behavior Technician | 5123 S Laporte Ave, Chicago, IL 60638-3010 | 2020-06-17 |
1851916399 | Donisha N Coleman | Behavior Technician | 5703 S Elizabeth St, Chicago, IL 60636-1906 | 2020-06-10 |
Find all providers in CHICAGO |
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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.