MINDY VICENS (NPI# 1366860330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366860330 |
| Entity Type | Individual |
| Full Name | MINDY VICENS |
| Practice Address |
3010 Grand Ave Waukegan IL 60085-2321 |
| Practice Telephone | 8473778296 |
| Practice Fax Number | 8479845689 |
| Mailing Telephone | 8473778296 |
| Mailing Fax Number | 8479845689 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |
| 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 |
| Street Address |
3010 GRAND AVE |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528088895 | Georgette Bloom | Counselor | 3010 Grand Ave, Floor 1, Waukegan, IL 60085-2321 | 2006-07-20 |
| 1144837758 | Danielle Candelario | Pharmacist | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-09-28 |
| 1740895481 | Ashley Perez | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-09-10 |
| 1528672839 | Haley Juliet Rainwater | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-09-03 |
| 1477165090 | David Quintel Howery | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-08-17 |
| 1558994228 | Alma Bertha Griffin | Registered Nurse | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2020-02-20 |
| 1427694413 | Shahzadhi Nyakhar | Community Health Worker | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-25 |
| 1184269623 | Jennifer Marie Winesburg | Registered Nurse | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-07 |
| 1225672157 | Tina Arnold | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-04 |
| 1003465592 | Sindy Lorena Guerra | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-09-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
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| 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 |
|---|---|---|---|---|
| 1003384512 | Isabel A Perez | Behavioral Analyst | 805 May St, Waukegan, IL 60085-7450 | 2018-11-02 |
| 1124522065 | Kayla Boldt | Behavioral Analyst | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2018-03-23 |
| 1346743218 | Alisha Gilani | Behavioral Analyst | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2018-03-16 |
| 1356876775 | Jamie Lee Sacramento | Behavioral Analyst | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2017-04-23 |
| 1154867588 | Pearlie Sherrod | Behavioral Analyst | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2017-01-09 |
| 1528516838 | Anali Hernandez | Behavioral Analyst | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2016-09-15 |
| 1205198736 | Tameka Lynette Jones-carter | Behavioral Analyst | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2012-06-11 |
| 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 |
| 1245830868 | Courtney Wall | Behavioral Analyst | 740 Quail Ridge Dr Unit D, Westmont, IL 60559-6148 | 2020-11-01 |
| 1134729254 | Daniel Christopher Schmidt | Behavioral Analyst | 1500 N Clybourn Ave Unit 105, Chicago, IL 60610-3017 | 2020-10-28 |
| 1235738410 | Dejan Milic | Behavioral Analyst | 900 E Wilmette Rd Unit 108, Palatine, IL 60074-6485 | 2020-10-20 |
| 1811594138 | Jj Kelley Behavioral Consulting, LLC | Behavioral Analyst | 16561 Paulina St, Markham, IL 60428-5847 | 2020-10-08 |
| 1184221574 | Orion Aba Inc. | Behavioral Analyst | 1500 Eisenhower Ln Ste 300, Lisle, IL 60532-2132 | 2020-10-08 |
| 1982201356 | Songbird Health Il LLC | Behavioral Analyst | 2045 W Grand Ave, Chicago, IL 60612-1576 | 2020-10-07 |
| 1477160620 | Solid Ground Foundation for Behavioral Services | Behavioral Analyst | 2033 198th Street, Lynwood, IL 60411-6080 | 2020-09-30 |
| 1447866363 | Allison Gratz | Behavioral Analyst | 9139 S Commercial Ave, Chicago, IL 60617-4300 | 2020-09-16 |
| 1902411069 | Timeica E Bethel | Behavioral Analyst | 47 W Polk St Ste 100-240, Chicago, IL 60605-2000 | 2020-09-14 |
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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.