TAYLOR MARIE LARSON (NPI# 1457905283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457905283 |
| Entity Type | Individual |
| Full Name | TAYLOR MARIE LARSON |
| Practice Address |
5 Revere Dr Ste 120 Northbrook IL 60062-8005 |
| Practice Telephone | 8473069843 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861865974 | Taylor Larson | Dietitian, Registered | 4200 Arsenal St, Saint Louis, MO 63116-1902 | 2015-11-11 |
| 1619273216 | Taylor Beth Larson | Dietitian, Registered | 66 Elm Willow Ct, The Woodlands, TX 77382-1037 | 2011-01-31 |
| 1134727167 | Taylor Rose Larson | Behavior Technician | 16941 N Eagle River Loop Rd, Eagle River, AK 99577-7824 | 2020-10-12 |
| 1619505401 | Taylor Larson | Student in an Organized Health Care Education/Training Program | 123 Hendersonville Rd, Asheville, NC 28803-2868 | 2020-03-29 |
| 1447801428 | Taylor Scott Larson | Military Health Care Provider | 34101 Farenholt Ave Bldg 14, San Diego, CA 92134-7000 | 2019-09-22 |
| Street Address |
5 REVERE DR STE 120 |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538336193 | Elnora S Jefferson | Specialist/Technologist | 5 Revere Dr Ste 120, Northbrook, IL 60062 | 2008-05-13 |
| 1821699109 | Renee Morrison | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-11-04 |
| 1225648389 | Shelby Reed | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-08-04 |
| 1194334995 | Veida Ferran Shockey | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-07-28 |
| 1114536059 | Alexa Laurel Zaino | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-07-27 |
| 1205444080 | Madison Kay Markham | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-07-17 |
| 1174131114 | Ashlyn Venturelli | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-07-15 |
| 1679191100 | Josephine M Kannenberg | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-07-10 |
| 1356969919 | Kristin Elizabeth Kadolph | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-07-10 |
| 1730707498 | Jacob Sauce | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| 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 |
|---|---|---|---|---|
| 1396386264 | Pamela Jeaninne Krolik | Behavior Technician | 5 Revere Dr Ste 126, Northbrook, IL 60062-1566 | 2019-10-02 |
| 1265090526 | Kate Elizabeth Voss | Behavior Technician | 3480 Merle Ln, Northbrook, IL 60062-7114 | 2019-06-03 |
| 1205492717 | Wendy J Wallace | Behavior Technician | 5 Revere Dr Ste 5120, Northbrook, IL 60062-1566 | 2019-05-10 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1699232983 | Abiodun Ogunsola | Behavior Technician | 5 Revere Dr Ste 210, Northbrook, IL 60062-1566 | 2019-02-22 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1043795297 | Charlotte T Close | Behavior Technician | 5 Revere Dr Ste 102, Northbrook, IL 60062-1567 | 2018-10-03 |
| 1811470370 | Matthew Jeffrey Soloway | Behavior Technician | 5 Revere Dr Ste 1205, Northbrook, IL 60062-1566 | 2018-09-11 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
Please comment or provide details below to improve the information on TAYLOR MARIE LARSON.
| 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.