EDRENA DAVIS (NPI# 1619313889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619313889 |
| Entity Type | Individual |
| Full Name | EDRENA DAVIS |
| Practice Address |
1909 Cheker Sq Hazel Crest IL 60429-1442 |
| Practice Telephone | 7083310500 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |
| 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 |
1909 CHEKER SQ |
| City | HAZEL CREST |
| State | IL |
| Zip Code | 60429-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760863542 | Paul Ninnemann | Behavioral Analyst | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2015-06-17 |
| 1134507247 | Celina Cantu | Counselor | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2015-05-08 |
| 1366820482 | Yvonne Walker | Behavioral Analyst | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2015-05-08 |
| 1942692090 | Anitra Purnell | Licensed Practical Nurse | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2015-02-26 |
| 1083005623 | Cara Catlett | Counselor | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2015-02-17 |
| 1598156077 | Lorri Pace | Counselor | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2015-02-05 |
| 1639567225 | Kindy Nwankama | Licensed Practical Nurse | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2015-01-05 |
| 1669879417 | Linda Collazo | Licensed Practical Nurse | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2014-11-21 |
| 1366848780 | Dorine Paino | Behavioral Analyst | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2014-11-12 |
| 1114335593 | Bridget Cole | Behavioral Analyst | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2014-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917987 | Nancy Sinwelski | Technician | 17305 Fisk Street, East Hazelcrest, IL 60429 | 2019-11-21 |
| 1144720871 | Plentiful Hair Studio LLC | Specialist | 17504 E Carriageway Dr Ste D, Hazel Crest, IL 60429 | 2018-02-19 |
| 1376052142 | Natalie Allen | Counselor | 3518 Birchwood Dr, Hazel Crest, IL 60429 | 2017-09-25 |
| 1730534009 | Lydena Franklin | Counselor | 1909 Cheker Square, East Hazel Crest, IL 60429 | 2016-04-25 |
| 1710331053 | Lauiren Orta | Counselor | 1901 Cheker Square, E Hazel Crest, IL 60429 | 2016-04-22 |
| 1427423367 | Andrea Leigh Warren | Nurse Practitioner | 17800 S. Kedzie Ave, Hazel Crest, IL 60429 | 2015-12-03 |
| 1770969354 | Karriem's Developmental Services | Day Training, Developmentally Disabled Services | 18513 River Road, Hazel Crest, IL 60429 | 2015-08-05 |
| 1073905170 | James Kamper | Physical Therapy Assistant | 1816 W 170th Street, Hazel Crest, IL 60429 | 2015-02-26 |
| 1194066019 | Marilyn C Scott | Psychologist | 18505 Meadow Ln., Hazel Crest, IL 60429 | 2013-03-04 |
| 1649548405 | Supported Independence | Community/Behavioral Health | 17009 Elm Drive, Hazel Crest, IL 60429 | 2011-12-08 |
| Find all providers in zip 60429 | ||||
| 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 |
|---|---|---|---|---|
| 1649522954 | Norma Brown | Behavioral Analyst | 18111 Charlemagne Ave, Hazel Crest, IL 60429-2226 | 2012-10-10 |
| 1760863542 | Paul Ninnemann | Behavioral Analyst | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2015-06-17 |
| 1366820482 | Yvonne Walker | Behavioral Analyst | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2015-05-08 |
| 1366848780 | Dorine Paino | Behavioral Analyst | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2014-11-12 |
| 1114335593 | Bridget Cole | Behavioral Analyst | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2014-07-29 |
| 1316365505 | Pamela Groen | Behavioral Analyst | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2014-04-03 |
| 1184046203 | Annette Loni | Behavioral Analyst | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2014-01-08 |
| 1538590534 | Tara Hill | Behavioral Analyst | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2013-12-02 |
| 1063755726 | Jacklyon Phillips | Behavioral Analyst | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2013-04-01 |
| 1538437108 | Robert Bulanda | Behavioral Analyst | 1909 Cheker Sq, Hazel Crest, IL 60429-1442 | 2011-12-09 |
| Find all providers in HAZEL CREST | ||||
| City | HAZEL CREST |
| Zip Code | 60429 |
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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.