KARISSA BUSTOS (NPI# 1710459730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710459730 |
| Entity Type | Individual |
| Full Name | KARISSA BUSTOS |
| Practice Address |
710 N Austin Blvd Apt 3 Oak Park IL 60302-5308 |
| Practice Telephone | 8154833182 |
| Mailing Telephone | 8473069843 |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |
| Gender Code | M |
| 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 |
710 N AUSTIN BLVD APT 3 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-5308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| 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 |
|---|---|---|---|---|
| 1578115788 | Charvis Peoples | Behavior Technician | 410 Wisconsin Ave, Oak Park, IL 60302-3630 | 2019-07-09 |
| 1184284069 | Samantha Ruppert | Behavior Technician | 128 Washington Blvd Apt 2n, Oak Park, IL 60302-4351 | 2019-06-13 |
| 1649760398 | Lauren Johnson | Behavior Technician | 845 Erie St Apt 3, Oak Park, IL 60302-2091 | 2018-05-17 |
| 1831687995 | Elnara Danilova | Behavior Technician | 14400 Talbot St, Oak Park, MI 48237-1157 | 2018-04-24 |
| 1144722687 | Jesus Torres | Behavior Technician | 6930 W Roosevelt Rd, Oak Park, IL 60304 | 2018-03-01 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| 1417564352 | Ericka Estrada | Behavior Technician | 6930 Roosevelt Rd, Oak Park, IL 60304-1845 | 2020-09-24 |
| 1801409784 | Sidhant Sehgal | Behavior Technician | 721 South Blvd Ste 210, Oak Park, IL 60302-2982 | 2020-08-28 |
| 1992323026 | Brianna Minando | Behavior Technician | 721 South Blvd Ste 210, Oak Park, IL 60302-2982 | 2020-07-06 |
| Find all providers in OAK PARK | ||||
Please comment or provide details below to improve the information on KARISSA BUSTOS.
| 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.