INDEPENDENT WITH AUTISM (NPI# 1790264927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790264927 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT WITH AUTISM |
| Other Organization Name | INDEPENDENT WITH AUTISM |
| Practice Address |
100 Saunders Rd Ste 150 Lake Forest IL 60045-2526 |
| Mailing Address |
2549 Waukegan Rd Ste 55 Bannockburn IL 60015-1569 |
| Practice Telephone | 8472759413 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Authorized Official Name | MS. SUSAN PERKOWITZ (OWNER) |
| Authorized Official Telephone | 8472749413 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIND BODY LIFE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Independent With Autism | Doing Business As Name - Organization |
| Street Address |
100 SAUNDERS RD STE 150 |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229575 | Liz Bisch Platt, Slp, LLC | Clinic/Center | 100 Saunders Rd Ste 150, Lake Forest, IL 60045-2526 | 2019-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| 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 |
|---|---|---|---|---|
| 1780166165 | Fernando Rodriguez Quiroz Jr. | Behavioral Analyst | 25601 Heatherow Cir, Lake Forest, CA 92630-5020 | 2018-09-03 |
| 1366800674 | Rick Andrew Perez | Behavioral Analyst | 26467 Rancho Pkwy S., Lake Forest, CA 92630 | 2016-02-01 |
| 1609250422 | Martha Conway | Behavioral Analyst | 580 N Bank Ln, Lake Forest, IL 60045-1949 | 2015-07-10 |
| 1831572445 | Behavior Change Interventions | Behavioral Analyst | 23701 Birtcher Dr, Lake Forest, CA 92630-1772 | 2015-06-30 |
| 1659780740 | Bridget Theresa Fleming | Behavioral Analyst | 315 S Basswood Rd, Lake Forest, IL 60045-2808 | 2014-08-04 |
| 1134491269 | Chanelle Lynn Olivo Read | Behavioral Analyst | 20992 N Hampton Way, Lake Forest, CA 92630-5836 | 2012-02-06 |
| 1952694580 | Marla Faith Maciel | Behavioral Analyst | 23971 Bublin Street, Lake Forest, CA 92630 | 2011-05-16 |
| 1275832818 | Heather Grifftih | Behavioral Analyst | 21132 Sunny Rdg, Lake Forest, CA 92630-6726 | 2011-03-22 |
| 1689981714 | College Living Experience | Behavioral Analyst | 25 Spectrum Pointe Dr, Suite 405, Lake Forest, CA 92630-2276 | 2010-09-10 |
| 1609322734 | Kayli Prpich Yue | Behavioral Analyst | 23701 Birtcher Dr, Lake Forest, CA 92630-1772 | 2016-08-29 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
Please comment or provide details below to improve the information on INDEPENDENT WITH AUTISM.
| 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.