CARLA D OLDHAM (NPI# 1912417759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912417759 |
| Entity Type | Individual |
| Full Name | CARLA D OLDHAM |
| Credential | MA, BCBA |
| Practice Address |
560 Waterbury Dr Aurora IL 60504-5276 |
| Practice Telephone | 6309911156 |
| Mailing Telephone | 6309911156 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-17-26901 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 140 N Wright St, Naperville, IL 605404748 | 6303054196 | |
| 1811 W Diehl Rd Ste 100, Naperville, IL 605636400 | 6304281595 | 6304288772 |
| Street Address |
560 WATERBURY DR |
| City | AURORA |
| State | IL |
| Zip Code | 60504-5276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| 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 |
|---|---|---|---|---|
| 1588271480 | Monarch Behavioral Therapy, LLC, Bii | Behavioral Analyst | 20971 E Smoky Hill Rd Ste 102, Aurora, CO 80015-5187 | 2020-09-25 |
| 1497379432 | Vanessa Cook | Behavioral Analyst | 1646 Linden Park Ln, Aurora, IL 60504-4806 | 2020-06-05 |
| 1891327193 | Hopebridge LLC | Behavioral Analyst | 18737 E Hampden Ave, Aurora, CO 80013-3557 | 2020-02-05 |
| 1205466695 | Autumn Conner | Behavioral Analyst | 2174 S Racine Way # W24-204, Aurora, CO 80014-7306 | 2020-01-24 |
| 1780227678 | Gay Dent-yonkers | Behavioral Analyst | 400 Kimberly Dr, Aurora, OH 44202-8409 | 2019-10-23 |
| 1417411703 | Lavisha Nita Fernandes | Behavioral Analyst | 3209 Grafton Ln, Aurora, IL 60502-7009 | 2019-01-30 |
| 1821561424 | Jones Aba Consulting | Behavioral Analyst | 1746 Middlebury Dr, Aurora, IL 60503-5750 | 2019-01-07 |
| 1467942896 | Mindy Ann Silbergleid | Behavioral Analyst | 1049 Terrace Lake Dr, Aurora, IL 60504-8982 | 2018-05-10 |
| 1407351687 | Tracy Krupp | Behavioral Analyst | 17437 E Brown Cir, Aurora, CO 80013-2107 | 2018-03-28 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| Find all providers in AURORA | ||||
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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.