MATTHEW BERG (NPI# 1295395572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295395572 |
| Entity Type | Individual |
| Full Name | MATTHEW BERG |
| Practice Address |
1161 Lake Cook Rd Deerfield IL 60015-5649 |
| Practice Telephone | 8474985437 |
| Mailing Telephone | 8474985437 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-19-87794 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RBT | RBT-19-87794 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861899270 | Matthew Berg | Specialist/Technologist | 1988 S 1100 E Unit 506, Salt Lake City, UT 84106-4723 | 2014-12-01 |
| 1518490903 | Matthew Berg | Case Management | 841 Steubenville Ave., Cambridge, OH 43725 | 2017-04-04 |
| 1972964138 | Matthew Berg | Pharmacist | 17500 Se 392nd St, Auburn, WA 98092-9705 | 2016-03-16 |
| 1598199572 | Matthew David Berg | Physical Therapist | 901 9th St N, Suite 100, Virginia, MN 55792-2325 | 2013-08-27 |
| 1265669618 | Matthew Eric Berg | Acupuncturist | 291 Main St, Suite 3, Great Barrington, MA 01230-1608 | 2009-06-12 |
| 1710163126 | Matthew Berg | Dietitian, Registered | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2008-01-16 |
| 1679592141 | Matthew Douglas Berg | Dentist | 2193 Silver Lake Rd Nw, New Brighton, MN 55112-5331 | 2006-07-18 |
| Street Address |
1161 LAKE COOK RD |
| City | DEERFIELD |
| State | IL |
| Zip Code | 60015-5649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316066434 | Julie Michelle Paskar | Speech-Language Pathologist | 1161 Lake Cook Rd, Deerfield, IL 60015 | 2007-03-28 |
| 1831704808 | Connie Lay-ngo | Speech-Language Pathologist | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-09-15 |
| 1801404876 | Casie Henrikson | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-07-16 |
| 1174140230 | Anne Nanninga | Behavioral Analyst | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-07-06 |
| 1558987545 | Angelina Fidowicz | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-06-25 |
| 1245854264 | Sarah Burke | Occupational Therapist | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-06-05 |
| 1124641592 | Erin Sullivan | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-05-20 |
| 1376166744 | Ryan J Schneider | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-05-20 |
| 1811523566 | Barbara Schroeder | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-03-13 |
| 1295360188 | Jeremiah Sweeting | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073569 | Steven A Ditgen | Physical Therapist | 43 N. Waukegan Road, Deerfield, IL 60015 | 2020-04-29 |
| 1760017255 | Amanda Barkley | Pharmacist | 200 Wilmont Rd, Deerfield, IL 60015 | 2020-03-05 |
| 1467001487 | Nora Fahmi | Pharmacist | Walgreen Co., 200 Wilmot Road, Deerfield, IL 60015 | 2019-09-11 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1528628484 | Cynthia Lynne Mckinzie | Psychologist | The Neuroscience Center, 440 Lake Cook Road, Deerfield, IL 60015 | 2019-06-13 |
| 1073084497 | Mary Jeane Jeane Velez | Nurse Practitioner | Brentwood Rehabilitation Center, 3705 Deerfield Rd., Deerfield, IL 60015 | 2018-12-11 |
| 1891264644 | Smile On of North Shore, PC | Dentist | 707 Lake Cook Rd., Suite 121, Deerfield, IL 60015 | 2018-11-21 |
| 1497236376 | Linda Li | Counselor | 15 Parkway North Blvd, Deerfield, IL 60015 | 2018-08-28 |
| 1174009831 | Rachael Michelle Lynn | Physician Assistant | 1302 Hazel Ave, Deerfield, IL 60015 | 2018-07-16 |
| 1730675182 | Alexandra Lee Joseph | Social Worker | 420 Lake Cook Road, Suite 113, Deerfield, IL 60015 | 2018-07-09 |
| Find all providers in zip 60015 | ||||
| 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 |
|---|---|---|---|---|
| 1538715172 | Emilea Carrera | Behavior Technician | 2065 Half Day Rd # T-354, Deerfield, IL 60015-1241 | 2019-08-09 |
| 1457816845 | Bonnie M Shea | Behavior Technician | 15239 W Walnut Dr, Deerfield, IL 60015-3570 | 2019-02-10 |
| 1063906162 | Nicholas Papa | Behavior Technician | 1161 Lake Cook Road, Deerfield, IL 60015 | 2018-06-21 |
| 1801404876 | Casie Henrikson | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-07-16 |
| 1558987545 | Angelina Fidowicz | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-06-25 |
| 1194349886 | Alyssa Eskander | Behavior Technician | 707 Lake Cook Rd, Deerfield, IL 60015-5613 | 2020-05-29 |
| 1124641592 | Erin Sullivan | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-05-20 |
| 1376166744 | Ryan J Schneider | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-05-20 |
| 1811523566 | Barbara Schroeder | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-03-13 |
| 1295360188 | Jeremiah Sweeting | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-03-11 |
| Find all providers in DEERFIELD | ||||
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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.