KELLY PHELAN (NPI# 1700385960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700385960 |
| Entity Type | Individual |
| Full Name | KELLY PHELAN |
| Credential | MA, BCBA |
| Practice Address |
11914 S Route 59 Unit 124 Plainfield IL 60585 |
| Mailing Address |
11914 S Route 59 Unit 124 Plainfield IL 60585-5110 |
| Practice Telephone | 8154691500 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-20-44141 | Behavioral Health & Social Service Providers | |
| N | 106S00000X | Behavior Technician | RBT-16-26776 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972075026 | Kelly Phelan | Physical Therapist | 6621 Fannin St, Houston, TX 77030-2358 | 2018-12-28 |
| Street Address |
11914 S ROUTE 59 UNIT 124 |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60585 |
| 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 |
| 1659927275 | Latasha M Gordon | Behavior Technician | 11914 S Route 59 Unit 124, Plainfield, IL 60585-5110 | 2019-08-11 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1447861497 | Mikki B Coburn | Behavioral Analyst | 160 Plainfield Village Drive, Suite 101, Plainfield, IN 46168-2782 | 2020-08-13 |
| 1588201792 | Nichole Mueller | Behavioral Analyst | 14421 S Wallin Dr, Plainfield, IL 60544-2502 | 2019-12-06 |
| 1891341418 | Hadeel Samih Hejja | Behavioral Analyst | 14722 S Naperville Rd Ste 110, Plainfield, IL 60544-3303 | 2019-08-11 |
| 1104333616 | Gail Diane Palechka | Behavioral Analyst | 129 N Union St, Plainfield, MA 01070-9604 | 2018-01-05 |
| 1942689187 | Michelle O'neill | Behavioral Analyst | 16410 S Howard St, Plainfield, IL 60586-9018 | 2015-05-20 |
| 1760861991 | Audrey Falkenstein | Behavioral Analyst | 1599 Township Line Road, Plainfield, IN 46168 | 2015-05-20 |
| 1659622512 | Integrity Behavioral Solutions, LLC | Behavioral Analyst | 1599 Township Line Rd., Plainfield, IN 46168 | 2012-10-01 |
| 1144594862 | Christian Wesley Eaton | Behavioral Analyst | 160 Plainfield Village Dr Ste 101, Plainfield, IN 46168-2782 | 2012-02-27 |
| 1619246303 | Debbie Ann Miranda | Behavioral Analyst | 13550 S Route 30 Ste 200, Plainfield, IL 60544-5687 | 2011-12-25 |
| 1528543055 | Amy Lee Spurling | Behavioral Analyst | 1599 Township Line Rd, Plainfield, IN 46168-7517 | 2018-10-01 |
| 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.