COURTNEY TIDWELL


Address: 1280 Iroquois Ave, Suite 402, Naperville, IL 60563-8551
Phone: 6302298843

COURTNEY TIDWELL (NPI# 1730631359) 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) 1730631359
Entity Type Individual
Full Name COURTNEY TIDWELL
Practice Address 1280 Iroquois Ave
Suite 402
Naperville
IL 60563-8551
Mailing Address 19631 Clifton Way
Mokena
IL 60448-8158
Practice Telephone 6302298843
Enumeration Date 2016-10-31
Last Update Date 2016-10-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106E00000X Assistant Behavior Analyst Behavioral Health & Social Service Providers

Other Providers COURTNEY TIDWELL

NPI Name Taxonomy Address Enumeration
1437713039 Courtney Tidwell Counselor 510 Princess Anne St Ste 101, Fredericksburg, VA 22401-6077 2019-04-29

Office Location

Street Address 1280 IROQUOIS AVE
SUITE 402
City NAPERVILLE
State IL
Zip Code 60563-8551

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225301815 Sandra G Carey Psychologist 1280 Iroquois Ave, Ste 404, Naperville, IL 60563-8570 2012-02-14
1760914766 Sammika Cosey Behavior Technician 1280 Iroquois Ave, Suite 402, Naperville, IL 60563-8551 2017-03-29
1306389531 Jessica Davit Speech-Language Pathologist 1280 Iroquois Ave, Suite 402, Naperville, IL 60563-8551 2016-11-19
1811439995 Instructional Aba Consultants Behavioral Analyst 1280 Iroquois Ave, 402, Naperville, IL 60563-8551 2016-11-07
1922550433 Betsy Zoraida Jauregui Behavior Technician 1280 Iroquois Ave, Suite 402, Naperville, IL 60563-8551 2016-10-31
1144772732 Jennifer To Behavior Technician 1280 Iroquois Ave, Suite 402, Naperville, IL 60563-8551 2016-10-29
1245782127 Sarah Krusinski Behavior Technician 1280 Iroquois Ave, Naperville, IL 60563-8551 2016-10-26
1356893440 Katarzyna Rejmer Behavior Technician 1280 Iroquois Ave, Suite 402, Naperville, IL 60563-8551 2016-10-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952902884 Julia Ann Gottschalk Nurse Practitioner 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 2020-11-06
1700484847 Lee Michael Harms I Social Worker 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 2020-10-12
1881208478 Poornima Swamy Gangaji Dentist 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 2020-09-01
1851901219 Adiana Lebron Social Worker 2948 Artestian Road, Naperville, IL 60563 2020-07-31
1194342014 Ingrid Lara Behavioral Analyst 1975 Mcdowell Rd #101, Naperville, IL 60563 2020-06-26
1396383030 Jack Kelly Assistant Behavior Analyst 1975 Mcdowell Rd. #101, Naperville, IL 60563 2019-12-12
1316583529 Arvind Ramakrishnan Behavioral Analyst 1975 Mcdowell Rd., Naperville, IL 60563 2019-11-22
1679115778 Melissa Macias Behavioral Analyst 1975 Mcdowell Road, #101, Naperville, IL 60563 2019-10-10
1629619275 Meghann Reid Vizintos Physician Assistant 1763 Freedom Dr Ste 117, Naperville, IL 60563 2019-10-04
1417413543 Vikram Singh Cheema Physician Assistant 1335 North Mill Street, Naperville, IL 60563 2019-02-13
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Taxonomy Information

Taxonomy Code 106E00000X
Grouping Behavioral Health & Social Service Providers
Classification Assistant Behavior Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396383030 Jack Kelly Assistant Behavior Analyst 1975 Mcdowell Rd. #101, Naperville, IL 60563 2019-12-12
1689164592 Christina Marie Lies Assistant Behavior Analyst 603 E Diehl Rd Ste 123, Naperville, IL 60563-4908 2018-05-16
1982156576 Colleen Houda Assistant Behavior Analyst 1280 Iroquois Ave Ste 402, Naperville, IL 60563-8570 2016-10-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891326773 Berikisu Atojoko Assistant Behavior Analyst 2953 Old Renwick Cir, Plainfield, IL 60544-2246 2020-01-30
1679113948 Tiffany Zenisek Assistant Behavior Analyst 133 Boulder Hill Pass, Montgomery, IL 60538-2325 2020-01-14
1285273805 Samantha Weyman Assistant Behavior Analyst 119 S Harvey Ave, Oak Park, IL 60302-2703 2019-12-30
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
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Competitor

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City NAPERVILLE
Zip Code 60563

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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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