TIFFANY ZENISEK (NPI# 1679113948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679113948 |
| Entity Type | Individual |
| Full Name | TIFFANY ZENISEK |
| Practice Address |
133 Boulder Hill Pass Montgomery IL 60538-2325 |
| Practice Telephone | 3314446319 |
| Mailing Telephone | 3314446319 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
133 BOULDER HILL PASS |
| City | MONTGOMERY |
| State | IL |
| Zip Code | 60538-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447594296 | Kristina Nancy Hajek | Physician Assistant | 1851 Douglas Road, Montgomery, IL 60538 | 2012-11-17 |
| 1003025248 | Matthew Thomas Neu | Preventive Medicine | 325 Route 31, Caterpillar Inc, Medical Division, Montgomery, IL 60538 | 2007-05-22 |
| 1477761567 | West Suburban Dental Care, Ltd. | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-20 |
| 1093834079 | David D Leger | Chiropractor | 2100 Baseline Rd, Montgomery, IL 60538 | 2007-03-28 |
| 1790816650 | Tina Elizabeth Sunderland | Specialist/Technologist | 22 Ashlawn Ave, Montgomery, IL 60538 | 2007-03-09 |
| 1720126535 | Nicholas George Tzanetakos | Family Medicine | 99 Boulder Hill Pass, Montgomery, IL 60538 | 2007-02-02 |
| 1184638603 | Neil Stewart Schlupp | Chiropractor | 212 Webster Street, Montgomery, IL 60538 | 2006-07-28 |
| 1275570061 | Ridge Ambulance Service Inc | Ambulance | 1851 Aucutt Rd, Montgomery, IL 60538 | 2006-06-01 |
| 1487855839 | Linda Gioia Arrich | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-31 |
| 1750508339 | Michael Harry Kontos | Dentist | 20 Boulder Hill Pass, Montgomery, IL 60538 | 2007-04-18 |
| Find all providers in zip 60538 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1043870298 | Heather E Wilson | Assistant Behavior Analyst | 2185 Normandie Dr, Montgomery, AL 36111-2728 | 2019-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891326773 | Berikisu Atojoko | Assistant Behavior Analyst | 2953 Old Renwick Cir, Plainfield, IL 60544-2246 | 2020-01-30 |
| 1285273805 | Samantha Weyman | Assistant Behavior Analyst | 119 S Harvey Ave, Oak Park, IL 60302-2703 | 2019-12-30 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1427692201 | Cynthia Mrotek | Assistant Behavior Analyst | 13071 Dunmoor Dr, Lemont, IL 60439-2741 | 2019-11-04 |
| 1518425644 | Nancy R Huffman | Assistant Behavior Analyst | 4224 Lincolnshire Dr Ste A, Mount Vernon, IL 62864-2156 | 2019-03-07 |
| 1194298158 | Kirsten Luna | Assistant Behavior Analyst | 8448 Karlov Ave, Skokie, IL 60076-2103 | 2019-01-02 |
| 1982176285 | Anita Lomax | Assistant Behavior Analyst | 206 E Washington St Apt A, Joliet, IL 60433-1006 | 2018-12-26 |
| 1285118414 | Ashley Marie Walsh | Assistant Behavior Analyst | 9510 Saint Clair Ave, Fairview Heights, IL 62208-1639 | 2018-09-24 |
| 1790264927 | Independent With Autism | Assistant Behavior Analyst | 100 Saunders Rd Ste 150, Lake Forest, IL 60045-2526 | 2018-08-08 |
| 1215413224 | Bravo Behavioral Health LLC | Assistant Behavior Analyst | 8140 Mccormick Blvd Ste 141, Skokie, IL 60076-2920 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 60538 |
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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.