BROOKE ELIZABETH CHRISTENSON (NPI# 1992270383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992270383 |
| Entity Type | Individual |
| Full Name | BROOKE ELIZABETH CHRISTENSON |
| Practice Address |
901 W Hawthorn Drive Itasca ID 60143 |
| Mailing Address |
901 W Hawthorn Dr Itasca IL 60143-2056 |
| Practice Telephone | 8008441232 |
| Practice Fax Number | 8008441232 |
| Mailing Telephone | 8008441232 |
| Mailing Fax Number | 8008441232 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-15-08750 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689287153 | Brooke Christenson | Marriage & Family Therapist | 240 Edward St, Sycamore, IL 60178-2155 | 2020-08-25 |
| Street Address |
901 W HAWTHORN DRIVE |
| City | ITASCA |
| State | ID |
| Zip Code | 60143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295021269 | Chicago Autism and Behavior Specialists | Behavioral Analyst | 901 W Hawthorn Drive, Itasca, IL 60143 | 2011-06-28 |
| 1477028108 | Nicole Dziekonski | Behavior Technician | 901 W Hawthorn Drive, Itasca, IL 60143 | 2018-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699204164 | Naila Pervez | Developmental Therapist | 1312 Prestwick Ln, Itasca, IL 60143 | 2017-06-08 |
| 1194267013 | Phylicia Ranes | Counselor | 333 Pierce Rd, Itassca, IL 60143 | 2016-11-09 |
| 1467832766 | Emily Lefew | Counselor | 333 W Pierce Rd Ste 175, Itasca, IL 60143 | 2015-06-02 |
| 1104071166 | Robert E. Scheck | Dentist | 115 W Orchard St., Itasca, IL 60143 | 2008-11-18 |
| 1831348028 | Amanda Parker | Psychologist | 901 W Hawthorn Dr, Itasca, IL 60143 | 2008-09-12 |
| 1770629289 | Sylwia Lucja Smirnow | Physical Therapist | 535 S Elm Str, Itasca, IL 60143 | 2007-01-30 |
| 1093802738 | Roy S Scheck | Family Medicine | 115 West Orchard St, Itasca, IL 60143 | 2006-10-06 |
| 1285029694 | Alexander Mckanna | Podiatrist | 209 N Walnut St, Itasca, IL 60143 | 2015-04-02 |
| 1417000704 | Kathy French | Dentist | 500 Park Blvd, Suite 180c, Itasca, IL 60143 | 2007-01-19 |
| 1801948518 | Thomas V Prybyl | Dentist | 500 Park Blvd, Suite 180c, Itasca, IL 60143 | 2007-01-16 |
| Find all providers in zip 60143 | ||||
| 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 |
|---|---|---|---|---|
| 1689149098 | Michele Joy Carranza | Behavior Technician | 915 W Hawthorn Dr, Itasca, IL 60143-2056 | 2018-10-11 |
| 1023508140 | Alexander Ayala | Behavior Technician | 528 Hickory Dr, Itasca, IL 60143-1653 | 2018-05-14 |
| 1467928531 | Kelly Zilinskas | Behavior Technician | 901 W Hawthorn Dr, Itasca, IL 60143-2056 | 2018-10-16 |
| 1518432814 | Robert Jordan Hanley | Behavior Technician | 901 W Hawthorn Dr, Itasca, IL 60143-2056 | 2018-10-12 |
| 1982179321 | Erin Barnicle | Behavior Technician | 901 W Hawthorn Dr, Itasca, IL 60143-2056 | 2018-10-12 |
| 1437624731 | Abigail Rose Owens | Behavior Technician | 901 W Hawthorn Dr, Itasca, IL 60143-2056 | 2018-10-12 |
| 1477028108 | Nicole Dziekonski | Behavior Technician | 901 W Hawthorn Drive, Itasca, IL 60143 | 2018-10-09 |
| 1912472994 | Ashley E Lane | Behavior Technician | 901 W Hawthorn Dr, Itasca, IL 60143-2056 | 2018-10-05 |
| 1396210589 | Christina Fick | Behavior Technician | 901 W Hawthorn Dr, Itasca, IL 60143-2056 | 2018-10-04 |
| 1689149890 | Cristina Lockwald | Behavior Technician | 901 W Hawthorn Dr, Itasca, IL 60143-2056 | 2018-10-04 |
| Find all providers in ITASCA | ||||
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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.