JILL MARIE GRASS (NPI# 1457844136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457844136 |
| Entity Type | Individual |
| Full Name | JILL MARIE GRASS |
| Credential | RBT |
| Practice Address |
39441 N Circle Ave Antioch IL 60002-8782 |
| Practice Telephone | 8472710001 |
| Mailing Telephone | 8472710001 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-17-40971 | IL | Behavioral Health & Social Service Providers |
| Street Address |
39441 N CIRCLE AVE |
| City | ANTIOCH |
| State | IL |
| Zip Code | 60002-8782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620345 | Kathleen Ann Bleyaert | Technician | 24238 W. Bayview Rd, Antioch, IL 60002 | 2020-02-12 |
| 1992354385 | Pauravi Hefner | Developmental Therapist | 270 Hickory Lane, Antioch, IL 60002 | 2019-09-09 |
| 1689023558 | Shannon Marie Herman | Pharmacist | 966 Route 59, Antioch, IL 60002 | 2016-06-10 |
| 1992151856 | Suchitra Gosavi | Physical Therapist | 3703west Lake Ave, Suit 200, Glenview, IL 60002 | 2016-05-10 |
| 1336513357 | Athletico Ltd | Physical Therapist | 1122 Main St., Antioch, IL 60002 | 2015-11-16 |
| 1811306335 | Jennifer Fitzgerald | Massage Therapist | 673 Cameron Drive, Antioch, IL 60002 | 2014-08-08 |
| 1114262052 | Michael W Silenzi | Physical Therapist | 543 Orchard Str, Antioch, IL 60002 | 2012-12-04 |
| 1659561678 | Expert Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 40225 N Rt 83, Suite B, Antioch, IL 60002 | 2007-07-26 |
| 1821157769 | Robert T Sven,dds,ltd | Dentist | 439 Lake Street, Antioch, IL 60002 | 2006-12-06 |
| 1447326004 | Stanley Jerome Witkiewicz | Dentist | 715 N Main, Antioch, IL 60002 | 2006-11-27 |
| Find all providers in zip 60002 | ||||
| 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 |
|---|---|---|---|---|
| 1902406051 | Jayden Mendoza | Behavior Technician | 4849 Lone Tree Way Suite C, Antioch, CA 94531 | 2020-10-28 |
| 1508470337 | Shannon Jacob | Behavior Technician | 2008 Mangrove Way, Antioch, CA 94509-9370 | 2020-08-31 |
| 1861001109 | Claudine Keshia Guerrier | Behavior Technician | 3305 Canim Ct, Antioch, CA 94509-5916 | 2020-07-23 |
| 1881227353 | Kelly M Wetzel | Behavior Technician | 5408 Piute Way, Antioch, CA 94531-9023 | 2020-02-12 |
| 1336788454 | Isabela Guadalupe Correa | Behavior Technician | 4320 Folsom Dr, Antioch, CA 94531-8211 | 2020-01-06 |
| 1982241337 | Jacquelyn Haller | Behavior Technician | 2345 Cypress St, Antioch, CA 94509-5247 | 2019-12-04 |
| 1851934632 | Jerrico Balingit Lopez | Behavior Technician | 2088 Beechwood Way, Antioch, CA 94509-9368 | 2019-10-23 |
| 1275183345 | Brizeida Soto Lopez | Behavior Technician | 1781 Vineyard Dr, Antioch, CA 94509-8552 | 2019-09-19 |
| 1427608868 | Teressa Ann Cole | Behavior Technician | 2708 Joshua Ct, Antioch, CA 94509-7764 | 2019-09-18 |
| 1326695172 | Brandaizha Necole Dunn | Behavior Technician | 1113 Prewett Ranch Dr, Antioch, CA 94531-8095 | 2019-08-26 |
| Find all providers in ANTIOCH | ||||
Please comment or provide details below to improve the information on JILL MARIE GRASS.
| 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.