MR. JORDAN MICHAEL LAWRENCE STORK (NPI# 1649772021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649772021 |
| Entity Type | Individual |
| Full Name | MR. JORDAN MICHAEL LAWRENCE STORK |
| Practice Address |
2500 W Higgins Rd Hoffman Estates IL 60169-7220 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 8476489204 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
2500 W HIGGINS RD |
| City | HOFFMAN ESTATES |
| State | IL |
| Zip Code | 60169-7220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354334 | Bruce Kolton | Dermatology | 2500 W Higgins Rd, Ste 940, Hoffman Estates, IL 60195-2085 | 2005-05-24 |
| 1003441445 | Hannah Burton | Behavioral Analyst | 2500 W Higgins Rd, Hoffman Estates, IL 60169-7220 | 2020-03-05 |
| 1558900688 | Nicholas David Souto | Behavioral Analyst | 2500 W Higgins Rd, Hoffman Estates, IL 60169-7220 | 2020-01-06 |
| 1649815044 | Kelly Locke | Doula | 2500 W Higgins Rd, Hoffman Estates, IL 60169-7220 | 2019-11-10 |
| 1427558774 | Gioia D Manolis | Behavior Technician | 2500 W Higgins Rd, Hoffman Estates, IL 60169-7220 | 2018-02-13 |
| 1306383997 | Normita Pangan | Specialist/Technologist, Other | 2500 W Higgins Rd, Suite 910, Hoffman Estates, IL 60169-7220 | 2017-01-20 |
| 1073058079 | Fielder Wellness, Inc | Chiropractor | 2500 W Higgins Rd, Suite 1132, Hoffman Estates, IL 60169-7220 | 2016-12-29 |
| 1164965604 | Illinois Health Solutions | Anesthesiology | 2500 W Higgins Rd, Ste 750, Hoffman Estates, IL 60169-7220 | 2016-12-01 |
| 1457712606 | Thrive Postpartum, Couples and Family Therapy, LLC | Counselor | 2500 W Higgins Rd, Suite 570, Hoffman Estates, IL 60169-7220 | 2016-03-16 |
| 1689039356 | Nicole Szulc-cieplicki | Physician Assistant | 2500 W Higgins Rd, Suite 1040, Hoffman Estates, IL 60169-7220 | 2015-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538639109 | Kathryn Grace Simpson | Behavioral Analyst | 2500 W Higgins Rd Suite 870, Hoffman Estates, IL 60169 | 2018-11-27 |
| 1821507195 | Anna Catsaros | Speech-Language Pathologist | 1030 W. Higgins Road, Hoffman Estates, IL 60169 | 2017-09-29 |
| 1831628908 | Htgr, Ltd | Dentist | 2200 N. Higgins Rd, Ste 335, Hoffman Estates, IL 60169 | 2017-06-12 |
| 1023541521 | Tamara M Nowak | Counselor | 2455 Dean St., Suite 3g, St. Charles, IL 60169 | 2017-04-11 |
| 1275995813 | Eraj Din | Pediatrics | 2500 W Higgins Rd Ste 440, Hoffman Estates, IL 60169 | 2016-03-23 |
| 1871965764 | Hameed U. Baig | Family Medicine | 1446 Della Drive, Hoffman Estates, IL 60169 | 2015-10-30 |
| 1316365620 | Eye See Optical Inc. | Clinical Medical Laboratory | 1071 W. Golf Rd., Hoffman Estates, IL 60169 | 2014-04-03 |
| 1093132284 | Elizabeth Sita | Psychiatry & Neurology | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169 | 2014-03-25 |
| 1881017895 | Katie Forsythe | Counselor | 990 Grand Canyon Pkwy Ste 420, Hoffman Estates, IL 60169 | 2014-01-27 |
| 1831447432 | Suma Karandikar | Counselor | 2500 W Higgins Rd Ste 570, Hoffman Estates, IL 60169 | 2012-08-29 |
| Find all providers in zip 60169 | ||||
| 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 |
|---|---|---|---|---|
| 1104383207 | Aubrie Kurz | Behavioral Analyst | 1835 Ashley Rd, Hoffman Estates, IL 60169-4397 | 2019-02-25 |
| 1538639109 | Kathryn Grace Simpson | Behavioral Analyst | 2500 W Higgins Rd Suite 870, Hoffman Estates, IL 60169 | 2018-11-27 |
| 1528504511 | Aliya Tahsin | Behavioral Analyst | 1090 Warington Lane, Hoffman Estates, IL 60169-2373 | 2017-01-13 |
| 1699152512 | Chrishunda Holman | Behavioral Analyst | 1963 Chelmsford Pl, Hoffman Estates, IL 60169-2532 | 2015-04-29 |
| 1407247117 | Emily Smedlund | Behavioral Analyst | 2500 W Higgins Rd Ste 870, Hoffman Estates, IL 60169-7266 | 2015-02-17 |
| 1073852935 | Lori Salha | Behavioral Analyst | 1265 Rosedale Ln, Hoffman Estates, IL 60169-2664 | 2013-02-12 |
| 1710129440 | Alexandra Koroleva-regalado | Behavioral Analyst | 1495 Jefferson Rd, Hoffman Estates, IL 60169-3516 | 2009-03-26 |
| 1003441445 | Hannah Burton | Behavioral Analyst | 2500 W Higgins Rd, Hoffman Estates, IL 60169-7220 | 2020-03-05 |
| 1558900688 | Nicholas David Souto | Behavioral Analyst | 2500 W Higgins Rd, Hoffman Estates, IL 60169-7220 | 2020-01-06 |
| 1740849835 | Emma Graetz | Behavioral Analyst | 2500 W Higgins Rd Ste 870, Hoffman Estates, IL 60169-7266 | 2019-06-11 |
| Find all providers in HOFFMAN ESTATES | ||||
| City | HOFFMAN ESTATES |
| Zip Code | 60169 |
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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.