MR. RONNIE JAMES WILSON JR. (NPI# 1679118822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679118822 |
| Entity Type | Individual |
| Full Name | MR. RONNIE JAMES WILSON JR. |
| Practice Address |
935 W Washington St Apt B Springfield IL 62702-7002 |
| Practice Telephone | 2178014202 |
| Mailing Telephone | 2178014202 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | IL | Behavioral Health & Social Service Providers |
| Street Address |
935 W WASHINGTON ST APT B |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-7002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| 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 |
|---|---|---|---|---|
| 1932707775 | Jodi L Oller | Behavior Technician | 3921 Pintail Dr, Springfield, IL 62711-6738 | 2020-10-14 |
| 1871190785 | Jennifer A Hogge | Behavior Technician | 219 42nd St, Springfield, OR 97478-5937 | 2020-10-04 |
| 1902417843 | Delaney Hicks | Behavior Technician | 3048 S Clifton Ave Ste 122, Springfield, MO 65807-5957 | 2020-08-13 |
| 1356959233 | Elanda Johnson | Behavior Technician | 59 Mapledell St, Springfield, MA 01109-3015 | 2020-07-16 |
| 1881212843 | Meghan Talarico | Behavior Technician | 3048 S Clifton Ave, Springfield, MO 65807-5957 | 2020-07-07 |
| 1376165621 | Hilla Obaidullah | Behavior Technician | 2340 S 4th St, Springfield, IL 62703-3402 | 2020-05-09 |
| 1801420906 | Alizay Scott | Behavior Technician | 3049 E Linden Ave, Springfield, IL 62702-6017 | 2020-02-27 |
| 1568094464 | Keesha Readus | Behavior Technician | 1512 E Carpenter St, Springfield, IL 62702-5726 | 2020-02-07 |
| 1740824697 | Terryl Heath Harris Ix | Behavior Technician | 2994 Main St, Springfield, MA 01107-1573 | 2019-11-04 |
| 1215571161 | Andrene Miller | Behavior Technician | 147 Talmadge Dr, Springfield, MA 01118-2522 | 2019-11-04 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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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.