NIA STAGGS (NPI# 1659652899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659652899 |
| Entity Type | Individual |
| Full Name | NIA STAGGS |
| Credential | SLP |
| Practice Address |
507 E Armstrong Ave Peoria IL 61603-3201 |
| Practice Telephone | 3096861177 |
| Practice Fax Number | 3096867722 |
| Mailing Telephone | 3096861177 |
| Mailing Fax Number | 3096867722 |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2016-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 146.010641 | IL | Speech, Language and Hearing Service Providers |
| Y | 103K00000X | Behavioral Analyst | 1-15-19129 | IL | Behavioral Health & Social Service Providers |
| Street Address |
507 E ARMSTRONG AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467434795 | Easter Seals - Ucp | Voluntary or Charitable | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2005-11-14 |
| 1295347201 | Emily Kathleen Smith | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2020-08-20 |
| 1215561089 | Anne Kirchgessner | Nurse Practitioner | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2020-03-02 |
| 1568002202 | Megan Mcnamara | Behavioral Analyst | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2020-01-10 |
| 1184268286 | Kaitlyn Schlink | Occupational Therapist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-10-31 |
| 1134770399 | Melissa Kay Reid | Behavioral Analyst | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-09-27 |
| 1871142703 | Molly Cull | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603 | 2019-09-04 |
| 1053964791 | Taylor Dayne Walden | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-07-22 |
| 1922664481 | Marie Javana Nelson | Developmental Therapist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-05-10 |
| 1295290930 | Cally Lynn Webb | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| 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 |
|---|---|---|---|---|
| 1538795281 | Segolene Waechter | Behavioral Analyst | 1108 N Glenwood Ave, Peoria, IL 61606-1009 | 2020-03-13 |
| 1093377889 | Rodrigo Esteban Mendoza | Behavioral Analyst | 6916 W Sweetwater Ave, Peoria, AZ 85381-5020 | 2019-07-02 |
| 1538623772 | Mackinzee Smith | Behavioral Analyst | 916 W Forrest Hill Ave, Peoria, IL 61604-1481 | 2019-01-22 |
| 1831668086 | Jessica Marie Fowler | Behavioral Analyst | 27333 N 75th Dr, Peoria, AZ 85383-6344 | 2018-11-16 |
| 1376020339 | Erin Marie Cavanagh | Behavioral Analyst | 3805 N Avalon Pl, Peoria, IL 61614-7022 | 2018-07-23 |
| 1053817643 | Ame Lynne Milosevich | Behavioral Analyst | 8014 W Redbird Rd, Peoria, AZ 85383-6263 | 2018-04-03 |
| 1750748695 | Michele Case | Behavioral Analyst | 6826 W Brown St, Peoria, AZ 85345-6876 | 2016-01-22 |
| 1376926493 | Stephanie Russell | Behavioral Analyst | 21505 N 78th Ave, 125, Peoria, AZ 85382-3356 | 2015-07-07 |
| 1598174617 | Nancy I Salinas Burgett | Behavioral Analyst | 21505 N 78th Ave Ste 125, Peoria, AZ 85382-3356 | 2014-08-04 |
| 1164850095 | Aurel Burz | Behavioral Analyst | 8249 W Crocus Dr, Peoria, AZ 85381-4648 | 2013-11-01 |
| Find all providers in PEORIA | ||||
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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.