LINDA MUCKEY


Address: 4481 Ash Grove Dr, Springfield, IL 62711-6358
Phone: 6125593340

LINDA MUCKEY (NPI# 1659920791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659920791
Entity Type Individual
Full Name LINDA MUCKEY
Practice Address 4481 Ash Grove Dr
Springfield
IL 62711-6358
Mailing Address 1195 E Walnut St Apt K7
Carbondale
IL 62901-5021
Practice Telephone 6125593340
Enumeration Date 2019-09-11
Last Update Date 2019-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-17-28837 Behavioral Health & Social Service Providers

Office Location

Street Address 4481 ASH GROVE DR
City SPRINGFIELD
State IL
Zip Code 62711-6358

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1578057220 Merissa Pryor Social Worker 4200 Conestoga Drive, Mbn 120, Springfield, IL 62711 2018-06-17
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1841682424 Americare At Centennial Pointe Assisted Living LLC Assisted Living Facility 3440 Hedley Road, Springfield, IL 62711 2015-02-19
1306249248 Schon Dental, LLC Dentist 2809 Mansion Road Suite D, Springfield, IL 62711 2014-10-07
1891105490 John Weiss Pharmacist 4200 Conestoga Drive, Springfield, IL 62711 2014-05-05
1720350689 Victor Harold Lary Family Medicine 3251 Spaulding Orchard Road, Springfield, IL 62711 2012-02-07
1902181795 Amanda Rose Davis Pharmacist 2500 Koke Mill Rd, Springfield, IL 62711 2011-10-12
1316233703 Karen Zerkle Dentist 2809 Mansion Rd, Suite D, Springfield, IL 62711 2011-06-23
1255520557 Link Chiropractic LLC Chiropractor 7012 Kingsmill Ct, Springfield, IL 62711 2007-10-23
1669688230 Victoria Lynn Driskill Dentist 4701 W. Wabash Ave, Springfield, IL 62711 2007-05-14
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962001479 Blueprint for Success LLC Behavioral Analyst 117 E Liberty St, Springfield, OH 45505-1935 2020-10-26
1790398527 Katie Evans Behavioral Analyst 2117 E Madison St, Springfield, MO 65802-3025 2020-08-31
1275167215 Christie Anne Tan Behavioral Analyst 92 Indian Rock Dr, Springfield, PA 19064-3341 2020-02-28
1346874674 Haley Rose Thompson Behavioral Analyst 1272 S Grand Ave W, Springfield, IL 62704-3567 2020-02-25
1437789914 Heather Marie Felske Behavioral Analyst 3048 S Clifton Ave Ste 112, Springfield, MO 65807-6045 2020-01-23
1164068052 Jenna Casar Behavioral Analyst 1023 West Ave, Springfield, PA 19064-3729 2019-11-26
1376187930 Leigha Sochurek Behavioral Analyst 5413 Montgomery St, Springfield, VA 22151-3855 2019-11-06
1306492921 Emmanuel Taye Behavioral Analyst 6700 Metropolitan Center Dr Apt 709, Springfield, VA 22150-4588 2019-08-12
1497213300 Emily Ranck Behavioral Analyst 433 E Thomson Ave, Springfield, PA 19064-2927 2019-03-10
1073086500 Jasmine Dash Behavioral Analyst 6850 Supreme Ct, Springfield, VA 22150-3057 2019-01-08
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Competitor

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City SPRINGFIELD
Zip Code 62711

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Dataset Information

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.

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