JODI L OLLER (NPI# 1932707775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932707775 |
| Entity Type | Individual |
| Full Name | JODI L OLLER |
| Credential | RBT |
| Practice Address |
3921 Pintail Dr Springfield IL 62711-6738 |
| Mailing Address |
11401 Bluegrass Pkwy Louisville KY 40299-2349 |
| Practice Telephone | 2176220564 |
| Mailing Telephone | 2175722286 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-136870 | IL | Behavioral Health & Social Service Providers |
| Street Address |
3921 PINTAIL DR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62711-6738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057220 | Merissa Pryor | Social Worker | 4200 Conestoga Drive, Mbn 120, Springfield, IL 62711 | 2018-06-17 |
| 1255884623 | Dental Professionals of Illinois, P.C. | Dentist | 2740 Prairie Crossing Drive, Springfield, IL 62711 | 2016-08-02 |
| 1841682424 | Americare At Centennial Pointe Assisted Living LLC | Assisted Living Facility | 3440 Hedley Road, Springfield, IL 62711 | 2015-02-19 |
| 1306249248 | Schon Dental, LLC | Dentist | 2809 Mansion Road Suite D, Springfield, IL 62711 | 2014-10-07 |
| 1891105490 | John Weiss | Pharmacist | 4200 Conestoga Drive, Springfield, IL 62711 | 2014-05-05 |
| 1720350689 | Victor Harold Lary | Family Medicine | 3251 Spaulding Orchard Road, Springfield, IL 62711 | 2012-02-07 |
| 1902181795 | Amanda Rose Davis | Pharmacist | 2500 Koke Mill Rd, Springfield, IL 62711 | 2011-10-12 |
| 1316233703 | Karen Zerkle | Dentist | 2809 Mansion Rd, Suite D, Springfield, IL 62711 | 2011-06-23 |
| 1255520557 | Link Chiropractic LLC | Chiropractor | 7012 Kingsmill Ct, Springfield, IL 62711 | 2007-10-23 |
| 1669688230 | Victoria Lynn Driskill | Dentist | 4701 W. Wabash Ave, Springfield, IL 62711 | 2007-05-14 |
| Find all providers in zip 62711 | ||||
| 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 |
|---|---|---|---|---|
| 1871190785 | Jennifer A Hogge | Behavior Technician | 219 42nd St, Springfield, OR 97478-5937 | 2020-10-04 |
| 1902417843 | Delaney Hicks | Behavior Technician | 3048 S Clifton Ave Ste 122, Springfield, MO 65807-5957 | 2020-08-13 |
| 1356959233 | Elanda Johnson | Behavior Technician | 59 Mapledell St, Springfield, MA 01109-3015 | 2020-07-16 |
| 1881212843 | Meghan Talarico | Behavior Technician | 3048 S Clifton Ave, Springfield, MO 65807-5957 | 2020-07-07 |
| 1376165621 | Hilla Obaidullah | Behavior Technician | 2340 S 4th St, Springfield, IL 62703-3402 | 2020-05-09 |
| 1801420906 | Alizay Scott | Behavior Technician | 3049 E Linden Ave, Springfield, IL 62702-6017 | 2020-02-27 |
| 1568094464 | Keesha Readus | Behavior Technician | 1512 E Carpenter St, Springfield, IL 62702-5726 | 2020-02-07 |
| 1679118822 | Ronnie James Wilson Jr. | Behavior Technician | 935 W Washington St Apt B, Springfield, IL 62702-7002 | 2019-11-12 |
| 1740824697 | Terryl Heath Harris Ix | Behavior Technician | 2994 Main St, Springfield, MA 01107-1573 | 2019-11-04 |
| 1215571161 | Andrene Miller | Behavior Technician | 147 Talmadge Dr, Springfield, MA 01118-2522 | 2019-11-04 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62711 |
Please comment or provide details below to improve the information on JODI L OLLER.
| 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.