MARY WATERMAN (NPI# 1982070736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982070736 |
| Entity Type | Individual |
| Full Name | MARY WATERMAN |
| Credential | BCBA |
| Practice Address |
219 S Chase St Wheaton IL 60187-5544 |
| Practice Telephone | 6307151513 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-15-18331 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780865238 | Mary Louise Waterman | Physical Therapist | Criterion-stoneham Early Intervention Program, 8 Henshaw St, Woburn, MA 01801 | 2007-11-26 |
| 1033581590 | Mary C Waterman | Nurse Practitioner | 4204 Gardendale St, Ste 312, San Antonio, TX 78229-3132 | 2015-10-23 |
| 1275642928 | Mary Johnett Waterman | Social Worker | 820 Jordan St, Suite 220, Shreveport, LA 71101-4519 | 2006-08-29 |
| Street Address |
219 S CHASE ST |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-5544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| 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 |
|---|---|---|---|---|
| 1568921146 | Crystal Gayle Goldberg | Behavioral Analyst | 1001 S Naperville Rd, Wheaton, IL 60189-6413 | 2019-03-13 |
| 1790201051 | Trask Aba, Inc. | Behavioral Analyst | 927 Kilkenny Dr Apt D, Wheaton, IL 60189-6196 | 2017-08-18 |
| 1750732046 | Emily Mutschler | Behavioral Analyst | 140 E Loop Rd, Wheaton, IL 60189-8407 | 2016-06-28 |
| 1962818260 | Dianna Duddy | Behavioral Analyst | 0n465 Fanchon St, Wheaton, IL 60187-3471 | 2014-07-08 |
| 1710285192 | Patricia Ann Lage | Behavioral Analyst | 38 Hawkins Cir, Wheaton, IL 60189-8468 | 2011-03-08 |
| 1497053185 | Margo Cherrie | Behavioral Analyst | 2210 Blacksmith Dr, Wheaton, IL 60189-8974 | 2011-03-04 |
| 1215544929 | Maithri Ramesh Malladi | Behavioral Analyst | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2020-09-26 |
| 1649832015 | Operation Empower Inc | Behavioral Analyst | 1001 S Naperville Rd, Wheaton, IL 60189-6413 | 2019-07-05 |
| 1083173439 | Alan J Goldberg | Behavioral Analyst | 1001 S Naperville Rd, Wheaton, IL 60189-6413 | 2019-03-15 |
| 1962986323 | Ashley Gallagher | Behavioral Analyst | 1725 S Naperville Rd, Wheaton, IL 60189-5805 | 2018-09-21 |
| Find all providers in WHEATON | ||||
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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.