GILBERTO DIAZ PONCE (NPI# 1932654126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932654126 |
| Entity Type | Individual |
| Full Name | GILBERTO DIAZ PONCE |
| Credential | BCABA |
| Practice Address |
599 Falling Waters Way Lindenhurst IL 60046-1703 |
| Mailing Address |
1321 Murfreesboro Pike Nashville TN 37217-2626 |
| Practice Telephone | 8479167375 |
| Practice Fax Number | 6155775654 |
| Mailing Telephone | 8443597629 |
| Mailing Fax Number | 6155775654 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-19-9861 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 019796100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 333256236 | 9547451112 | 9547451120 |
| 7735 Nw 48th St Ste 110, Doral, FL 331665547 | 7868605161 |
| Street Address |
599 FALLING WATERS WAY |
| City | LINDENHURST |
| State | IL |
| Zip Code | 60046-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003156928 | Early Autism Project, Inc. | Psychologist | 599 Falling Waters Way, Lindenhurst, IL 60046-1703 | 2013-03-01 |
| 1306458153 | Cortney K Claypool | Behavior Technician | 599 Falling Waters Way, Lindenhurst, IL 60046-1703 | 2020-08-21 |
| 1922640853 | Rodney Paul Ervin II | Behavior Technician | 599 Falling Waters Way, Lindenhurst, IL 60046-1703 | 2019-10-11 |
| 1518517689 | Melissa Rattner | Behavior Technician | 599 Falling Waters Way, Lindenhurst, IL 60046-1703 | 2019-09-19 |
| 1134779507 | Jelissa Jones | Behavior Technician | 599 Falling Waters Way, Lindenhurst, IL 60046-1703 | 2019-09-17 |
| 1407406184 | Sarah Daniels | Behavior Technician | 599 Falling Waters Way, Lindenhurst, IL 60046-1703 | 2019-09-16 |
| 1124677711 | Patricia Hinrichsen | Behavior Technician | 599 Falling Waters Way, Lindenhurst, IL 60046-1703 | 2019-09-06 |
| 1447808779 | Miriam Hopkins | Behavior Technician | 599 Falling Waters Way, Lindenhurst, IL 60046-1703 | 2019-08-29 |
| 1609384858 | Nicole Owen | Behavior Technician | 599 Falling Waters Way, Lindenhurst, IL 60046-1703 | 2018-01-22 |
| 1407374317 | Juan Carlos Curiel | Social Worker | 599 Falling Waters Way, Lindenhurst, IL 60046-1703 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962021287 | Kathryn Anne Harper | Physical Therapist | 7900 Rollins Road, Lake Villa, ID 60046 | 2020-04-16 |
| 1508346263 | Milennium Medical Ltd | Nurse Practitioner | 2866 Falling Waters, Lindenhurst, IL 60046 | 2018-08-21 |
| 1497264121 | Gail Truger | Speech-Language Pathologist | 24750 W. Dering Lane, Lake Villa, IL 60046 | 2017-09-26 |
| 1104345669 | Tobias V Schirmer | Speech-Language Pathologist | Palombi Middle School, 133 South Mckinley, Lake Villa, IL 60046 | 2017-09-15 |
| 1699163410 | Daniel Aron Goldberg | Psychologist | 600 West Grand Avenue, Lake Villa, IL 60046 | 2014-12-31 |
| 1962838946 | Kendall Barber | Physical Therapist | 50 S Milwaukee Ave Ste 201, Lake Villa, IL 60046 | 2013-09-23 |
| 1790045284 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1025 Red Oak Lane, Suite 100, Lindenhurst, IL 60046 | 2012-05-18 |
| 1548534977 | Daniela Cvetkova | Counselor | 3021 Falling Waters, Lindenhurst, IL 60046 | 2012-03-02 |
| 1225310568 | Dimitrios George Tsakos | Pharmacist | 399 South Route 45, Lindenhurst, IL 60046 | 2011-09-13 |
| 1285933085 | Abigail Jean Bradley | Developmental Therapist | 87 Bridlepath Drive, Lindenhurst, IL 60046 | 2011-03-18 |
| Find all providers in zip 60046 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| 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] |
| 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 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | LINDENHURST |
| Zip Code | 60046 |
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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.