KENDALL PHILLIPS (NPI# 1598325912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598325912 |
| Entity Type | Individual |
| Full Name | KENDALL PHILLIPS |
| Practice Address |
1409 W Carroll Ave Chicago IL 60607-1105 |
| Practice Telephone | 3127330883 |
| Mailing Telephone | 3127330883 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-66208 | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306840327 | Kendall Leigh Phillips | Physician Assistant | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2005-06-08 |
| 1528414372 | Kendall Phillips | Counselor | 1511 Upland Dr, Suite 100, Houston, TX 77043-4710 | 2016-05-11 |
| Street Address |
1409 W CARROLL AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60607-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639487929 | Leah Dunleavy | Occupational Therapist | 1409 W Carroll Ave, Chicago, IL 60607-1105 | 2010-09-20 |
| 1659988418 | Allison Stamler | Behavior Technician | 1409 W Carroll Ave, Chicago, IL 60607-1105 | 2020-09-25 |
| 1194331256 | Hannah R Scher | Social Worker | 1409 W Carroll Ave, Chicago, IL 60607-1105 | 2020-09-23 |
| 1073129888 | Ivy Maina | Behavior Technician | 1409 W Carroll Ave, Chicago, IL 60607-1105 | 2020-09-17 |
| 1972117067 | Jessica Knight | Behavior Technician | 1409 W Carroll Ave, Chicago, IL 60607-1105 | 2020-09-04 |
| 1770196545 | Lorena Arriaga | Behavior Technician | 1409 W Carroll Ave, Chicago, IL 60607-1105 | 2020-08-31 |
| 1235742065 | Elda Abigail Silva | Behavior Technician | 1409 W Carroll Ave, Chicago, IL 60607-1105 | 2020-08-31 |
| 1457964157 | Sloane Oxley-hase | Behavior Technician | 1409 W Carroll Ave, Chicago, IL 60607-1105 | 2020-08-24 |
| 1871105726 | Melanie Lauren Hegner | Behavior Technician | 1409 W Carroll Ave, Chicago, IL 60607-1105 | 2020-08-21 |
| 1073125126 | Jacob Michael Wright | Behavior Technician | 1409 W Carroll Ave, Chicago, IL 60607-1105 | 2020-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
| 1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
| 1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| 1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
| 1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
| 1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
| 1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
| 1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
| 1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
| Find all providers in zip 60607 | ||||
| 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.