MR. KENNETH JOHN SHIELDS JR. (NPI# 1134736895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134736895 |
| Entity Type | Individual |
| Full Name | MR. KENNETH JOHN SHIELDS JR. |
| Practice Address |
750 Essington Rd Joliet IL 60435-4912 |
| Practice Telephone | 8157292160 |
| Mailing Telephone | 8154101347 |
| Mailing Fax Number | 8153730099 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1548267743 | Kenneth L. Shields | Counselor | 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1730 | 2005-07-01 |
| Street Address |
750 ESSINGTON RD |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-4912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356502140 | Scott S Cowan | Physical Therapy Assistant | 750 Essington Rd, Joliet, IL 60435-4912 | 2008-06-24 |
| 1669089231 | Lauren Composto | Behavioral Analyst | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-09-28 |
| 1700493277 | Rachel Elizabeth Peterson | Behavior Technician | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-09-28 |
| 1154937720 | Jamie Lynn Haberkorn | Speech-Language Pathologist | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-09-19 |
| 1033721626 | Maria Fernanda Quevedo Carrasco | Physical Therapist | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-08-17 |
| 1790303881 | Acacia Grace Fisher | Behavior Technician | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-07-06 |
| 1265059463 | Mckenna Terese Teboda | Counselor | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-07-03 |
| 1386269587 | Jennifer Rose Hume | Behavior Technician | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-06-12 |
| 1821624610 | Carrie Ann Elise Welsh | Speech-Language Pathologist | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-03-12 |
| 1598398299 | Nicole Ruzich | Occupational Therapist | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| 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 |
|---|---|---|---|---|
| 1760083653 | A First Step Towards Hope Aba Services | Behavioral Analyst | 1711 N Autumn Dr, Joliet, IL 60431-8530 | 2020-11-05 |
| 1235756347 | Kendall Papa | Behavioral Analyst | 2601 Campbell St, Joliet, IL 60435-6407 | 2020-07-06 |
| 1043830680 | Keri Alyse Jackson | Behavioral Analyst | 3411 Grass Lake Dr, Joliet, IL 60435-8799 | 2020-04-23 |
| 1003365073 | Ashley Nelson | Behavioral Analyst | 501 N Raynor Ave, Joliet, IL 60435-6025 | 2016-09-30 |
| 1093190134 | Joshua Robert Brehn | Behavioral Analyst | 777 Joyce Rd Unit B, Joliet, IL 60436-1878 | 2015-07-29 |
| 1295059772 | Jessica Lynn Fouch | Behavioral Analyst | 2401 W Jefferson St, Joliet, IL 60435-6428 | 2010-03-26 |
| 1669089231 | Lauren Composto | Behavioral Analyst | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-09-28 |
| 1033730791 | Autism Support Chicago LLC | Behavioral Analyst | 401 Burke Dr, Joliet, IL 60433-2113 | 2020-05-04 |
| 1225691942 | Dina Gooch | Behavioral Analyst | 777 Joyce Rd, Joliet, IL 60436-1876 | 2019-04-18 |
| 1184190746 | Margaret Emma Hoeltje | Behavioral Analyst | 750 Essington Rd, Joliet, IL 60435-4912 | 2018-10-22 |
| Find all providers in JOLIET | ||||
Please comment or provide details below to improve the information on MR. KENNETH JOHN SHIELDS JR..
| 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.