MARIN E EBERLEIN (NPI# 1407410426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407410426 |
| Entity Type | Individual |
| Full Name | MARIN E EBERLEIN |
| Credential | BCBA |
| Practice Address |
4433 W Touhy Ave # 335 Lincolnwood IL 60712-1820 |
| Mailing Address |
950 Lee St Ste 210 Des Plaines IL 60016-6574 |
| Practice Telephone | 8774864140 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-19-35112 | CO | Behavioral Health & Social Service Providers |
| Street Address |
4433 W TOUHY AVE # 335 |
| City | LINCOLNWOOD |
| State | IL |
| Zip Code | 60712-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731355 | Christina Hoffstrom | Social Worker | 4433 W Touhy Ave # 335, Lincolnwood, IL 60712-1820 | 2016-10-18 |
| 1275142671 | Nicole Kwiecien-augustyn | Behavior Technician | 4433 W Touhy Ave # 335, Lincolnwood, IL 60712-1820 | 2020-07-31 |
| 1538785589 | Amanda Ing | Speech-Language Pathologist | 4433 W Touhy Ave # 335, Lincolnwood, IL 60712-1820 | 2020-06-24 |
| 1578107967 | Vivian Moreno | Behavior Technician | 4433 W Touhy Ave # 335, Lincolnwood, IL 60712-1820 | 2019-10-29 |
| 1124670856 | Meghan Cheever | Behavior Technician | 4433 W Touhy Ave # 335, Lincolnwood, IL 60712-1820 | 2019-07-12 |
| 1942765821 | Ashley M Sciaccotta | Behavior Technician | 4433 W Touhy Ave # 335, Lincolnwood, IL 60712-1820 | 2019-02-05 |
| 1194204495 | Alexander Reinhold Bielesch | Behavior Technician | 4433 W Touhy Ave # 335, Lincolnwood, IL 60712-1820 | 2018-08-08 |
| 1649758525 | Eric Roeser | Counselor | 4433 W Touhy Ave # 335, Lincolnwood, IL 60712-1820 | 2018-08-01 |
| 1265925440 | Abigail Matt | Behavior Technician | 4433 W Touhy Ave # 335, Lincolnwood, IL 60712-1820 | 2018-06-12 |
| 1043717564 | Kayla Ockrim | Behavior Technician | 4433 W Touhy Ave # 335, Lincolnwood, IL 60712-1820 | 2018-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255998811 | Better Residential Care | Adult Companion | 7301 N. Lincoln Avenue, Suite 104, Lincolnwood, IL 60712 | 2019-05-20 |
| 1538652441 | Elysium Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7366 N Lincoln Ave Ste 304, Lincolnwood, IL 60712 | 2018-06-14 |
| 1851805253 | Jasmine Lukose | Nurse Practitioner | 6501 N. Lincoln Ave, Lincolnwood, IL 60712 | 2017-11-21 |
| 1982134425 | Sana Baig | Dentist | 4368 W Touhy Ave, Lincolnwood, IL 60712 | 2017-06-18 |
| 1447640081 | Soghra Sorouri | Dentist | 6838 N. Kilpatrick Ave, Lincolwood, IL 60712 | 2015-02-04 |
| 1164839239 | Sunrise Nursing & Rehabilitation Center | Skilled Nursing Facility | 7383 N Lincon Ave, Suite 100, Lincolnwood, IL 60712 | 2014-07-21 |
| 1013328079 | Lawrence S. Reiner | Dentist | 4751 W. Touhy Ave, Lincolnwood, IL 60712 | 2014-05-13 |
| 1437430121 | Susan B Sorisho | Pharmacist | 7318 N East Prairie Rd, Lincolnwood, IL 60712 | 2011-09-08 |
| 1922338623 | Dean Medical, Sc | Internal Medicine | 6501 N. Sauganash, Lincolnwood, IL 60712 | 2010-01-04 |
| 1134456064 | Leah Brennan | Marriage & Family Therapist | 6834 N. Lowell Ave., Lincolnwood, IL 60712 | 2009-11-13 |
| Find all providers in zip 60712 | ||||
| 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 |
|---|---|---|---|---|
| 1235691106 | Megan Michell | Behavioral Analyst | 7360 N Lincoln Ave # 110, Lincolnwood, IL 60712-1705 | 2019-04-01 |
| 1821561333 | Taylor N Genseal | Behavioral Analyst | 4433 W Touhy Ave Unit 335, Lincolnwood, IL 60712-1820 | 2019-01-08 |
| 1649587569 | Jason Wetherbee | Behavioral Analyst | 7360 N Lincoln Ave Ste 110, Lincolnwood, IL 60712-1705 | 2010-09-13 |
| 1386242550 | Alexia Roc | Behavioral Analyst | 7360 N Lincoln Ave Ste 110, Lincolnwood, IL 60712-1705 | 2020-10-11 |
| 1063983518 | Lena Marie Driscoll | Behavioral Analyst | 7360 N Lincoln Ave Ste 110, Lincolnwood, IL 60712-1705 | 2018-12-10 |
| 1598235350 | Thomas Wierzbinski | Behavioral Analyst | 7360 N Lincoln Ave Ste 110, Lincolnwood, IL 60712-1705 | 2018-12-04 |
| 1477032886 | Kimberly Ann Malloy | Behavioral Analyst | 7360 N Lincoln Ave Ste 110, Lincolnwood, IL 60712-1705 | 2018-08-08 |
| 1881172195 | Nathan Edward Clark | Behavioral Analyst | 4433 W Touhy Ave Ste 335, Lincolnwood, IL 60712-1820 | 2018-07-30 |
| 1447743208 | Abigail Daphene Frazier | Behavioral Analyst | 7360 N Lincoln Ave Ste 110, Lincolnwood, IL 60712-1705 | 2018-06-07 |
| 1417462045 | Cory Kinsman Laflair | Behavioral Analyst | 4433 W Touhy Ave, Lincolnwood, IL 60712-1820 | 2017-12-05 |
| Find all providers in LINCOLNWOOD | ||||
| City | LINCOLNWOOD |
| Zip Code | 60712 |
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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.