MARISSA MCMILLAN


Address: 4921 N Glen Park Place Rd, Peoria, IL 61614-4676
Phone: 8442631613

MARISSA MCMILLAN (NPI# 1760093967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760093967
Entity Type Individual
Full Name MARISSA MCMILLAN
Practice Address 4921 N Glen Park Place Rd
Peoria
IL 61614-4676
Mailing Address 650 W Grand Ave Ste 207
Elmhurst
IL 60126-1025
Practice Telephone 8442631613
Mailing Telephone 8442631613
Enumeration Date 2020-08-11
Last Update Date 2020-08-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 4921 N GLEN PARK PLACE RD
City PEORIA
State IL
Zip Code 61614-4676

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548818511 Christine Svoboda Social Worker 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 2019-09-03
1639649007 Kathy Karouzos Counseling, LLC Clinic/Center 330 W. Ivy Ln., Peoria, IL 61614 2018-11-28
1205312790 Kathleen Marie Hendricks Nurse Practitioner 2809 W Willow Knolls Dr, Peoria, IL 61614 2018-07-17
1629563937 Mary Elizabeth Cunningham Counselor 6219 N. Eldorado Dr., Peoria, IL 61614 2018-06-28
1861937955 Angela Gilles Social Worker 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 2016-12-27
1467994897 Melissa Saxsma Specialist 5009 N Executive Dr, Peoria, IL 61614 2016-11-16
1902258874 Rashid Plastic Surgery, LLC Plastic Surgery 804 W Trailcreek Drive, Peoria, IL 61614 2016-07-05
1215313143 Melissa Lynn Phelan Nurse Practitioner 122 E Morningside Dr, Peoria, IL 61614 2015-08-03
1811380165 All Ways Caring Services, Inc. In Home Supportive Care 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 2015-03-11
1568875920 Schuler & Arkwell Orthodontic Partnership Dentist 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 2014-06-03
Find all providers in zip 61614

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063036333 Stephanie Marilyn Brainard Behavior Technician 20470 N Lake Pleasant Rd Ste 107, Peoria, AZ 85382-9708 2020-06-03
1689205155 Amanda Kahms Behavior Technician 4211 N Patricia Ct, Peoria, IL 61614-6716 2020-02-03
1598329450 Rebekah Rogers Behavior Technician 3417 W Baskin Rdg Apt 6, Peoria, IL 61604-1733 2019-04-26
1770146342 Tracey N Nava Behavior Technician 9634 W Alice Ave, Peoria, AZ 85345-7773 2019-04-18
1760973762 Miranda Taylor Morton Behavior Technician 4507 N Sterling Ave Ste 400, Peoria, IL 61615-3860 2018-05-24
1801497466 Michelle Ramos Martinez Behavior Technician 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 2020-11-02
1598364234 Tyler Harnick Behavior Technician 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 2020-10-23
1225637960 Janelle Guardado Torres Behavior Technician 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 2020-10-23
1770182412 Maclay Patten Behavior Technician 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 2020-10-23
1497354138 Megan Claudio Behavior Technician 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 2020-10-23
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61614

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Dataset Information

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.

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