STEPHANIE BUTLER (NPI# 1174911762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174911762 |
| Entity Type | Individual |
| Full Name | STEPHANIE BUTLER |
| Practice Address |
19530 Kedzie Ave Flossmoor IL 60422-1778 |
| Mailing Address |
17746 Oak Park Ave Tinley Park IL 60477-3936 |
| Practice Telephone | 7084441012 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |
| 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 |
|---|---|---|---|---|
| 1245867233 | Stephanie Renay Butler | Counselor | 523 Dixie St Ste A, Carrollton, GA 30117-3870 | 2020-03-27 |
| 1881233252 | Stephanie Aldridge Butler | Counselor | 457 Calhoun Ave, Destin, FL 32541-1508 | 2020-01-02 |
| 1376931790 | Stephanie Butler | Occupational Therapist | 4397 Worthington Cir, Palm Harbor, FL 34685-1157 | 2015-01-07 |
| 1982945911 | Stephanie Lee Butler | Registered Nurse | 49 Longfellow Rd, Northborough, MA 01532-2725 | 2013-03-15 |
| 1003041112 | Stephanie Lynn Butler | Speech-Language Pathologist | 2202 Summer Raye Ct, Saint Cloud, FL 34772-8587 | 2009-05-18 |
| 1578170361 | Stephanie Marie Butler | Marriage & Family Therapist | 531 E Lynwood St, Phoenix, AZ 85004-1626 | 2020-09-26 |
| 1003334087 | Stephanie Butler | Physical Therapist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2017-08-30 |
| 1720502487 | Stephanie Rene Butler | Behavior Technician | 4526 Federal Ave, Everett, WA 98203-2132 | 2017-08-02 |
| 1033647433 | Stephanie Butler | Social Worker | 3809 Rosewood Dr, Columbia, SC 29205-3533 | 2017-05-30 |
| 1841748571 | Stephanie Butler | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2016-09-11 |
| Street Address |
19530 KEDZIE AVE |
| City | FLOSSMOOR |
| State | IL |
| Zip Code | 60422-1778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194763433 | Andrea Bacon | Psychiatry & Neurology | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2006-06-02 |
| 1508470048 | Kristen Efantis | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2020-09-02 |
| 1225642762 | Shannon Ristedt | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2020-09-02 |
| 1548874241 | Amani Davis | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2020-09-01 |
| 1487291738 | Carole Holliday | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2019-12-05 |
| 1366089625 | Rolanda Bailey-clark | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2019-12-05 |
| 1841840360 | Sarah Seebold | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2019-09-17 |
| 1477103992 | Kathryn Panzica | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2019-09-17 |
| 1003466533 | Sotira Vamvouris | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2019-09-17 |
| 1811547342 | Shawna Brough | Counselor | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2019-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274310 | Miranda Home Health Care Inc | Nursing Care | 19150 S. Kedzie Ave, 203, Flossmoor, IL 60422 | 2020-08-06 |
| 1285256172 | Bp Behavioral Services, LLC | Behavioral Analyst | 2222 Marston Lane, Flossmoor, IL 60422 | 2020-05-13 |
| 1891164133 | Lauren Simpson | Behavioral Analyst | 19530 Kezie Avenue, Flossmoor, IL 60422 | 2015-09-16 |
| 1437541190 | Keshawn Gardner | Specialist/Technologist, Other | 1248 Berry Ln, Flossmoor, IL 60422 | 2015-03-04 |
| 1770989717 | Naomi Kelly | Behavioral Analyst | 1930 Kedzie Avenue, Flossmoor, IL 60422 | 2014-11-18 |
| 1093059453 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2012-11-23 |
| 1285981506 | Restorative Life Services, LLC | Social Worker | 169624 Governors Highway, Flossmoor, IL 60422 | 2012-08-06 |
| 1063786457 | Gwyneeda Carter-sidberry | Pharmacist | 1443 Selkirk Street, Flossmoor, IL 60422 | 2012-03-02 |
| 1053682021 | Alfonso Javier Medina Sr. | Anesthesiology | 3141 Stonegate Ct., Flossmoor, IL 60422 | 2012-01-23 |
| 1912121161 | Anthony J Maoloni | Dentist | 19815 Governors Highway, Orthodontic Associates Ltd Suite 1, Flossmoor, IL 60422 | 2007-04-12 |
| Find all providers in zip 60422 | ||||
| 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 |
|---|---|---|---|---|
| 1639781792 | Olayinka Dada | Behavioral Analyst | 19001 Harding Ave, Flossmoor, IL 60422-1057 | 2020-08-20 |
| 1285256172 | Bp Behavioral Services, LLC | Behavioral Analyst | 2222 Marston Lane, Flossmoor, IL 60422 | 2020-05-13 |
| 1891164133 | Lauren Simpson | Behavioral Analyst | 19530 Kezie Avenue, Flossmoor, IL 60422 | 2015-09-16 |
| 1770989717 | Naomi Kelly | Behavioral Analyst | 1930 Kedzie Avenue, Flossmoor, IL 60422 | 2014-11-18 |
| 1205113420 | Robin Lee Bartkovsky | Behavioral Analyst | 1023 Central Park Ave, Flossmoor, IL 60422-2222 | 2011-11-16 |
| 1477098903 | Lloydtonda Nolan | Behavioral Analyst | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2016-12-19 |
| 1811431091 | Elizabeth Montgomery | Behavioral Analyst | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2016-12-07 |
| 1508312505 | Kevin Cavanaugh | Behavioral Analyst | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2016-08-30 |
| 1881085421 | Wisal Hwaij | Behavioral Analyst | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2015-02-17 |
| 1245628833 | Nicole Cregan | Behavioral Analyst | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2015-01-05 |
| Find all providers in FLOSSMOOR | ||||
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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.