KELSEY PETERS (NPI# 1023595873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023595873 |
| Entity Type | Individual |
| Full Name | KELSEY PETERS |
| Practice Address |
150 Houston St Ste 300 Batavia IL 60510-1995 |
| Mailing Address |
1315a Modaff Rd # 6 Naperville IL 60565-6118 |
| Practice Telephone | 8473362237 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 15-08503 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 15-08503 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073033296 | Kelsey Nutt Peters | Dentist | 7760 Moffett Rd, Mobile, AL 36618-4136 | 2017-06-20 |
| 1952917254 | Kelsey Peters | Dietitian, Registered | 1320 Maplewood Ave, Ronceverte, WV 24970-8016 | 2020-09-22 |
| 1124670153 | Kelsey Beth Schomburg Peters | Speech-Language Pathologist | 701 Olson Dr, Papillion, NE 68046-4797 | 2019-07-10 |
| 1992367965 | Kelsey Lynn Peters | Student in an Organized Health Care Education/Training Program | 205 N East Ave, Jackson, MI 49201-1753 | 2019-07-01 |
| 1205345899 | Kelsey L Peters | Social Worker | 495 E Main St, Columbus, OH 43215 | 2017-09-26 |
| 1306376652 | Kelsey Peters | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2017-06-19 |
| Street Address |
150 HOUSTON ST STE 300 |
| City | BATAVIA |
| State | IL |
| Zip Code | 60510-1995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603164 | Ann Podrasky | Behavior Technician | 150 Houston St Ste 300, Batavia, IL 60510-1995 | 2018-03-21 |
| 1972099315 | Danielle Gilson | Behavior Technician | 150 Houston St Ste 300, Batavia, IL 60510-1995 | 2018-07-09 |
| 1407351380 | Stephanie Lynn Bowen | Behavior Technician | 150 Houston St Ste 300, Batavia, IL 60510-1995 | 2018-03-24 |
| 1548764632 | Sydney Russell | Behavioral Analyst | 150 Houston St Ste 300, Batavia, IL 60510-1995 | 2018-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326523101 | Maria Witte | Specialist/Technologist | 1316 Cherry Dr, Batavia, IL 60510 | 2018-09-27 |
| 1740768902 | Anna Cannone | Speech-Language Pathologist | 1501 S Raddant Rd, Batavia, IL 60510 | 2018-07-31 |
| 1770071565 | Amber August-gilio | Registered Nurse | 1116 Schiedler Dr., Batavia, IL 60510 | 2018-04-26 |
| 1356865323 | Emily Shiffler | Specialist/Technologist | 1345 Clybourne St, Batavia, IL 60510 | 2017-08-01 |
| 1720537657 | Go Kid Go Therapy Services, LLC | Physical Therapist | 131 Flinn Street, Suite A, Batavia, IL 60510 | 2016-10-04 |
| 1992122337 | Pacer Dental P.C. | Clinic/Center | 853 North Randall Road, Batavia, IL 60510 | 2014-03-24 |
| 1396176988 | Jody Marie Kanikula | Social Worker | 439 Elizabeth St, Batavia, IL 60510 | 2013-12-06 |
| 1295087765 | Therese Marie White | Social Worker | 37 W 950 Heaton Drive, Batavia, IL 60510 | 2012-10-09 |
| 1619252491 | Debra Joy Herron | Massage Therapist | 462 Manchester Ave., Batavia, IL 60510 | 2011-10-12 |
| 1861780363 | Mary Lather | Speech-Language Pathologist | 1260 Averill Dr, Batavia, IL 60510 | 2011-07-18 |
| Find all providers in zip 60510 | ||||
| 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 |
|---|---|---|---|---|
| 1811453681 | Laura L Vercillo | Behavior Technician | 631 Sylvan Ct, Batavia, IL 60510-3295 | 2019-02-15 |
| 1225517865 | Kristen Russo | Behavior Technician | 1111 Davey Dr, Batavia, IL 60510-8624 | 2018-08-13 |
| 1699265330 | Ashley Moreno | Behavior Technician | 957 S Raddant Rd, Batavia, IL 60510-3346 | 2018-05-17 |
| 1932603164 | Ann Podrasky | Behavior Technician | 150 Houston St Ste 300, Batavia, IL 60510-1995 | 2018-03-21 |
| 1932676541 | Abigail Hyland | Behavior Technician | 50 Batavia City Ctr, Batavia, NY 14020-2107 | 2018-11-01 |
| 1285118349 | Elizabeth Melendez | Behavior Technician | 150 Houston St, Batavia, IL 60510-1953 | 2018-09-24 |
| 1194204057 | Sara Martinez | Behavior Technician | 438 Madison St, Batavia, IL 60510-2006 | 2018-08-11 |
| 1730665258 | Nyna Sethi-jones | Behavior Technician | 604 S Van Buren St, Batavia, IL 60510-2756 | 2018-07-18 |
| 1972099315 | Danielle Gilson | Behavior Technician | 150 Houston St Ste 300, Batavia, IL 60510-1995 | 2018-07-09 |
| 1407351380 | Stephanie Lynn Bowen | Behavior Technician | 150 Houston St Ste 300, Batavia, IL 60510-1995 | 2018-03-24 |
| Find all providers in BATAVIA | ||||
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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.