FUNCTIONAL SKILLS GROUP (NPI# 1932741733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932741733 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL SKILLS GROUP |
| Practice Address |
14840 Shepard Dr Dolton IL 60419-2467 |
| Practice Telephone | 7734490859 |
| Mailing Telephone | 7734490859 |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | TINESHA DENISE JOHNSON (OWNER) |
| Authorized Official Telephone | 7734490859 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14840 Shepard Dr, Dolton, IL 604192467 | 7734490859 |
| Street Address |
14840 SHEPARD DR |
| City | DOLTON |
| State | IL |
| Zip Code | 60419-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825722 | Amari Carnise Cole | Home Health Aide | 14840 Shepard Dr, Dolton, IL 60419-2467 | 2020-09-10 |
| 1548881790 | Leonard Pollard | Home Health Aide | 14840 Shepard Dr, Dolton, IL 60419-2467 | 2020-04-29 |
| 1467085753 | Tinesha Denise Johnson | Home Health Aide | 14840 Shepard Dr, Dolton, IL 60419-2467 | 2020-02-15 |
| 1285267575 | Leslie Smith | Home Health Aide | 14840 Shepard Dr, Dolton, IL 60419-2467 | 2020-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063985174 | Adesola O Bello | Occupational Therapist | 15325 Dante Ave, Dolton, IL 60419 | 2019-01-10 |
| 1780159657 | Angela Denice Carter | Social Worker | 15400 University, Dolton, IL 60419 | 2018-10-08 |
| 1417322165 | Gregory Peck Stapleton Sr. | Non-emergency Medical Transport (VAN) | 15320 South Evers, Dolton, IL 60419 | 2015-12-07 |
| 1780055624 | Royal Estates Assistive Living LLC | Assisted Living Facility | 1515 E 154th St., Dolton, IL 60419 | 2015-10-19 |
| 1013217264 | Bestmed-care Services,ltd | Home Health | 15008 S Woodlawn Avenue, Dolton, IL 60419 | 2010-10-21 |
| 1689905168 | Faith Connections Home Health and Professional Service Corporation | Home Health | 15335 Sunset Dr, Dolton, IL 60419 | 2010-01-22 |
| 1053555235 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 14449 Vanburen, Dolton, IL 60419 | 2009-05-01 |
| 1912163437 | Quality Dental, Inc | Dentist | 1121 E. Sibley Blvd, Dolton, IL 60419 | 2008-08-04 |
| 1013138171 | Valerie Denise Hicks-beal | Developmental Therapist | 14501 S. Dobson, Dolton, IL 60419 | 2007-05-02 |
| 1417178096 | Rhonda D Williams | Occupational Therapy Assistant | 15205 Diekman Court, Dolton, IL 60419 | 2007-05-01 |
| Find all providers in zip 60419 | ||||
| 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 |
|---|---|---|---|---|
| 1447877782 | Cassandra Owens | Behavioral Analyst | 14822 Indiana Ave, Dolton, IL 60419-1636 | 2020-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083653 | A First Step Towards Hope Aba Services | Behavioral Analyst | 1711 N Autumn Dr, Joliet, IL 60431-8530 | 2020-11-05 |
| 1245830868 | Courtney Wall | Behavioral Analyst | 740 Quail Ridge Dr Unit D, Westmont, IL 60559-6148 | 2020-11-01 |
| 1134729254 | Daniel Christopher Schmidt | Behavioral Analyst | 1500 N Clybourn Ave Unit 105, Chicago, IL 60610-3017 | 2020-10-28 |
| 1235738410 | Dejan Milic | Behavioral Analyst | 900 E Wilmette Rd Unit 108, Palatine, IL 60074-6485 | 2020-10-20 |
| 1811594138 | Jj Kelley Behavioral Consulting, LLC | Behavioral Analyst | 16561 Paulina St, Markham, IL 60428-5847 | 2020-10-08 |
| 1184221574 | Orion Aba Inc. | Behavioral Analyst | 1500 Eisenhower Ln Ste 300, Lisle, IL 60532-2132 | 2020-10-08 |
| 1982201356 | Songbird Health Il LLC | Behavioral Analyst | 2045 W Grand Ave, Chicago, IL 60612-1576 | 2020-10-07 |
| 1477160620 | Solid Ground Foundation for Behavioral Services | Behavioral Analyst | 2033 198th Street, Lynwood, IL 60411-6080 | 2020-09-30 |
| 1447866363 | Allison Gratz | Behavioral Analyst | 9139 S Commercial Ave, Chicago, IL 60617-4300 | 2020-09-16 |
| 1902411069 | Timeica E Bethel | Behavioral Analyst | 47 W Polk St Ste 100-240, Chicago, IL 60605-2000 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
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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.