MS. DEBORAH A VANDERWALL (NPI# 1437645835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437645835 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH A VANDERWALL |
| Practice Address |
26211 W Boesch Pl Ingleside IL 60041-9775 |
| Practice Telephone | 8473444606 |
| Mailing Telephone | 8473444606 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| Street Address |
26211 W BOESCH PL |
| City | INGLESIDE |
| State | IL |
| Zip Code | 60041-9775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749151 | Derrick Drew Pousson | Chiropractor | 36485 N Maple Ave, Ingleside, IL 60041 | 2017-09-12 |
| 1699216507 | Patrice Ann Piechur | Registered Nurse | 404 Madison Ave., Ingleside, IL 60041 | 2017-03-10 |
| 1679641492 | Chiro One Wellness Centers of Crystal Lake LLC | Chiropractor | 435 Angela Lane, Unit 19, Crystal Lake, IL 60041 | 2006-12-01 |
| 1609973049 | Jennifer Ann O'grady | Speech-Language Pathologist | 35050 N. Frontage Rd., Ingleside, IL 60041 | 2006-09-20 |
| 1770695173 | Forrest Frank Kogut | Chiropractor | 601 S Route 59, Ingleside, IL 60041 | 2006-08-31 |
| 1447236229 | William C Dam | Internal Medicine | 214 Washington St, Ingleside, IL 60041 | 2005-12-22 |
| 1144461278 | Fox Lake Fire Protection District | Ambulance | 306 Washington St, Ingleside, IL 60041-0000 | 2009-03-19 |
| 1174759294 | Fox Lake Fire Protection District | Ambulance | 306 Washington, #237, Ingleside, IL 60041-0237 | 2009-06-03 |
| 1912217845 | Cecelia Blue | Counselor | 500 Spring Rd, 275, Ingleside, IL 60041-0275 | 2010-10-13 |
| 1124568720 | Maria Teresa Queypo | Registered Nurse | 604 Rollins Rd Unit 355, Ingleside, IL 60041-4401 | 2017-03-01 |
| Find all providers in zip 60041 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1891326773 | Berikisu Atojoko | Assistant Behavior Analyst | 2953 Old Renwick Cir, Plainfield, IL 60544-2246 | 2020-01-30 |
| 1679113948 | Tiffany Zenisek | Assistant Behavior Analyst | 133 Boulder Hill Pass, Montgomery, IL 60538-2325 | 2020-01-14 |
| 1285273805 | Samantha Weyman | Assistant Behavior Analyst | 119 S Harvey Ave, Oak Park, IL 60302-2703 | 2019-12-30 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1427692201 | Cynthia Mrotek | Assistant Behavior Analyst | 13071 Dunmoor Dr, Lemont, IL 60439-2741 | 2019-11-04 |
| 1518425644 | Nancy R Huffman | Assistant Behavior Analyst | 4224 Lincolnshire Dr Ste A, Mount Vernon, IL 62864-2156 | 2019-03-07 |
| 1194298158 | Kirsten Luna | Assistant Behavior Analyst | 8448 Karlov Ave, Skokie, IL 60076-2103 | 2019-01-02 |
| 1982176285 | Anita Lomax | Assistant Behavior Analyst | 206 E Washington St Apt A, Joliet, IL 60433-1006 | 2018-12-26 |
| 1285118414 | Ashley Marie Walsh | Assistant Behavior Analyst | 9510 Saint Clair Ave, Fairview Heights, IL 62208-1639 | 2018-09-24 |
| 1790264927 | Independent With Autism | Assistant Behavior Analyst | 100 Saunders Rd Ste 150, Lake Forest, IL 60045-2526 | 2018-08-08 |
| Find all providers with the same taxonomy | ||||
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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.