GWENDOLYN L JOHNSON (NPI# 1962708545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962708545 |
| Entity Type | Individual |
| Full Name | GWENDOLYN L JOHNSON |
| Practice Address |
17850 Baker Ave Country Club Hills IL 60478-4729 |
| Mailing Address |
17746 Oak Park Ave Tinley Park IL 60477-3936 |
| Practice Telephone | 7089220538 |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649482167 | Gwendolyn Angela Johnson | Developmental Therapist | 29w410 Forestview Dr, Warrenville, IL 60555 | 2007-05-04 |
| 1730253014 | Gwendolyn Watts Johnson | Social Worker | 9199 Reisterstown Road, Suite 214c, Owings Mills, MD 21117 | 2006-11-20 |
| 1295841658 | Gwendolyn O Johnson | Social Worker | 2225 N Charles St, Baltimore, MD 21218 | 2006-08-21 |
| 1558371666 | Gwendolyn Armstrong Johnson | Social Worker | 1408 Waterford Ct, Desoto, TX 75115-7802 | 2006-08-09 |
| 1811532070 | Gwendolyn Johnson | Counselor | 3135 Euclid Ave Ste 202, Cleveland, OH 44115-2524 | 2019-11-12 |
| 1891061925 | Gwendolyn Johnson | Rehabilitation Practitioner | 1007 N Lake Ave, Pasadena, CA 91104-4521 | 2012-03-22 |
| 1245507946 | Gwendolyn Johnson | Counselor | 209 W Broadway St, Okemah, OK 74859-2618 | 2011-11-23 |
| 1881865715 | Gwendolyn Watkins Johnson | Psychologist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2008-03-19 |
| Street Address |
17850 BAKER AVE |
| City | COUNTRY CLUB HILLS |
| State | IL |
| Zip Code | 60478-4729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730363458 | Grand Prairie Services | Clinic/Center | 17850 Baker Ave, Country Club Hills, IL 60478-4729 | 2007-12-18 |
| 1831728245 | Erica Jefferson | Case Manager/Care Coordinator | 17850 Baker Ave, Country Club Hills, IL 60478-4729 | 2020-04-07 |
| 1376840967 | Pamela L Velazquez | Behavioral Analyst | 17850 Baker Ave, Country Club Hills, IL 60478-4729 | 2011-02-17 |
| 1447554969 | Bertha M Miller | Behavioral Analyst | 17850 Baker Ave, Country Club Hills, IL 60478-4729 | 2010-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285266296 | Infinity Love Care LLC | Hospice Care, Community Based | 1153 Williamsburg Road, Country Club Hills, IL 60478 | 2020-02-07 |
| 1467911313 | Atlas & Associates, Inc | Durable Medical Equipment & Medical Supplies | 4907 Sunset Lane, Country Club Hills, IL 60478 | 2019-03-19 |
| 1780196022 | Katrina Crosby | Non-emergency Medical Transport (VAN) | 18261 Ravisloe Terrace, Country Club Hills, IL 60478 | 2017-10-26 |
| 1063949675 | Rashunda Lee | Nurse Practitioner | 17469 Park Lane, Country Club Hills, IL 60478 | 2017-05-12 |
| 1558809947 | Jaylin Omauri Banks | Specialist/Technologist | 17791 Princeton Lane, Country Club Hills, IL 60478 | 2017-02-06 |
| 1083072276 | Lynn Banks | Occupational Therapy Assistant | 17800 Rosewood Terrace, Country Club Hills, IL 60478 | 2016-02-03 |
| 1215323019 | Norm Brown | Case Management | 19432 Elm Dr, Country Club Hills, IL 60478 | 2015-04-09 |
| 1265841746 | Glorinda Conley Henry | Health Educator | 4131 W. 192nd Pl., Country Club Hills, IL 60478 | 2014-08-08 |
| 1447663398 | Lillian Moore | Nurse Practitioner | 4724 West 175th Place, Country Club Hills, IL 60478 | 2014-06-09 |
| 1578999348 | Ihuoma C Ozoh | Pharmacist | 18331 Mulberry Terrace, Country Club Hills, IL 60478 | 2013-09-24 |
| Find all providers in zip 60478 | ||||
| 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 |
|---|---|---|---|---|
| 1306130299 | Camille S Delaney | Behavioral Analyst | 19030 Chestnut Ave, Country Club Hills, IL 60478-5724 | 2011-06-08 |
| 1376840967 | Pamela L Velazquez | Behavioral Analyst | 17850 Baker Ave, Country Club Hills, IL 60478-4729 | 2011-02-17 |
| 1447554969 | Bertha M Miller | Behavioral Analyst | 17850 Baker Ave, Country Club Hills, IL 60478-4729 | 2010-12-23 |
| 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 | ||||
| City | COUNTRY CLUB HILLS |
| Zip Code | 60478 |
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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.