LATASHA M GORDON (NPI# 1659927275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659927275 |
| Entity Type | Individual |
| Full Name | LATASHA M GORDON |
| Practice Address |
11914 S Route 59 Unit 124 Plainfield IL 60585-5110 |
| Practice Telephone | 8157292160 |
| Practice Fax Number | 8152205619 |
| Mailing Telephone | 8157292160 |
| Mailing Fax Number | 8152205619 |
| Enumeration Date | 2019-08-11 |
| Last Update Date | 2019-08-11 |
| 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 |
| Street Address |
11914 S ROUTE 59 UNIT 124 |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60585-5110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104052877 | Brian Patrick Sabella | Speech-Language Pathologist | 11914 S Route 59 Unit 124, Plainfield, IL 60585-5110 | 2009-06-08 |
| 1942815220 | Brianna Marie Feyereisen | Behavior Technician | 11914 S Route 59 Unit 124, Plainfield, IL 60585-5110 | 2020-09-13 |
| 1740890078 | Danielle Murphy | Speech-Language Pathologist | 11914 S Route 59 Unit 124, Plainfield, IL 60585-5110 | 2020-08-02 |
| 1538783469 | Emily Kay Demick | Speech-Language Pathologist | 11914 S Route 59 Unit 124, Plainfield, IL 60585-5110 | 2020-06-06 |
| 1174084362 | Theresa Moen | Speech-Language Pathologist | 11914 S Route 59 Unit 124, Plainfield, IL 60585-5110 | 2019-03-29 |
| 1629543509 | Courtney Capuano | Behavior Technician | 11914 S Route 59 Unit 124, Plainfield, IL 60585 | 2018-10-08 |
| 1700385960 | Kelly Phelan | Behavioral Analyst | 11914 S Route 59 Unit 124, Plainfield, IL 60585 | 2018-02-02 |
| 1093269706 | Megan Covey | Speech-Language Pathologist | 11914 S Route 59 Unit 124, Plainfield, IL 60585-5110 | 2016-08-10 |
| 1316313232 | Rebecca G Lenihan | Physical Therapist | 11914 S Route 59 Unit 124, Plainfield, IL 60585-5110 | 2015-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851918650 | Kaytlin Cearnal | Behavior Technician | 11914 Illinois Rte 59, Suite 124, Plainfield, IL 60585 | 2020-06-29 |
| 1891315503 | Erin Leigh Lehman | Social Worker | 11914 Illinois Rte 59 Suite 124, Plainfield, IL 60585 | 2020-04-22 |
| 1770112856 | Neuro Communication & Swallowing Therapy LLC | Speech-Language Pathologist | 13400 S. Route 59, Ste 116, Plainfield, IL 60585 | 2020-04-02 |
| 1407494891 | Samantha Lisa Delaney | Behavior Technician | 11914 Il-59, Plainfield, IL 60585 | 2019-12-16 |
| 1134767510 | Alexandra Marie Vosburgh | Behavior Technician | 11914 Il-59 S Unit 124, Plainfield, IL 60585 | 2019-12-16 |
| 1609419498 | Kristen Gomez | Occupational Therapist | 11914 Il Route 59, Suite 124, Plainfield, Il, IL 60585 | 2019-10-24 |
| 1073165411 | Kari Mild | Speech-Language Pathologist | 1183 Ford Court, Plainfield, IL 60585 | 2019-07-16 |
| 1700367810 | Monica Isabel Avelar | Behavior Technician | 11914 Illinois Route 59, Plainfield, IL 60585 | 2018-08-27 |
| 1427599901 | Harrinder Panglia | Occupational Therapist | 12800 Barrow Lane, Plainfield, IL 60585 | 2017-03-16 |
| 1942678990 | Jessica Akins | Speech-Language Pathologist | 12838 Blue Spruce Dr, Plainfield, IL 60585 | 2015-09-08 |
| Find all providers in zip 60585 | ||||
| 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 |
|---|---|---|---|---|
| 1851918650 | Kaytlin Cearnal | Behavior Technician | 11914 Illinois Rte 59, Suite 124, Plainfield, IL 60585 | 2020-06-29 |
| 1407494891 | Samantha Lisa Delaney | Behavior Technician | 11914 Il-59, Plainfield, IL 60585 | 2019-12-16 |
| 1134767510 | Alexandra Marie Vosburgh | Behavior Technician | 11914 Il-59 S Unit 124, Plainfield, IL 60585 | 2019-12-16 |
| 1659939445 | Stephanie Pates | Behavior Technician | 14530 Thomas Jefferson Dr, Plainfield, IL 60544-4423 | 2019-06-05 |
| 1053879635 | Lisa Marie Treptow | Behavior Technician | 1905 Havenhill Dr, Plainfield, IL 60586-6508 | 2019-03-04 |
| 1356812937 | Amanda Furrer | Behavior Technician | 14059 Front Royal Ct, Plainfield, IL 60544-6095 | 2018-12-07 |
| 1235608597 | Daliborka Nusheva | Behavior Technician | 7511 Locust Ln, Plainfield, IL 60586-2529 | 2018-11-16 |
| 1942779541 | Jaycinda S Gamblin | Behavior Technician | 6409 Coyote Ridge Ct, Plainfield, IL 60586-2598 | 2018-11-13 |
| 1265909576 | Dena Ann Steppe | Behavior Technician | 2619 Sierra Ave, Plainfield, IL 60586-6849 | 2018-10-25 |
| 1700367810 | Monica Isabel Avelar | Behavior Technician | 11914 Illinois Route 59, Plainfield, IL 60585 | 2018-08-27 |
| Find all providers in PLAINFIELD | ||||
| City | PLAINFIELD |
| Zip Code | 60585 |
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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.