JOHANA LISET AVILA


Address: 85 Revere Dr Ste Aa, Northbrook, IL 60062-8001
Phone: 8473069843

JOHANA LISET AVILA (NPI# 1760959506) 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) 1760959506
Entity Type Individual
Full Name JOHANA LISET AVILA
Practice Address 85 Revere Dr Ste Aa
Northbrook
IL 60062-8001
Practice Telephone 8473069843
Mailing Telephone 8473069843
Enumeration Date 2018-10-30
Last Update Date 2018-10-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 85 REVERE DR STE AA
City NORTHBROOK
State IL
Zip Code 60062-8001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487892741 Lyndsay Rae Sarra Behavioral Analyst 85 Revere Dr Ste Aa, Northbrook, IL 60062-8001 2009-01-25
1255970950 Tiffany Hall Behavior Technician 85 Revere Dr Ste Aa, Northbrook, IL 60062-8001 2019-12-27
1912366345 Ivy Amelia Domont Behavioral Analyst 85 Revere Dr Ste Aa, Northbrook, IL 60062-8001 2016-02-12
1811363542 Adam Lobermeier Behavioral Analyst 85 Revere Dr Ste Aa, Northbrook, IL 60062-8001 2015-08-17
1104258508 Tiffany Toepper Behavioral Analyst 85 Revere Dr Ste Aa, Northbrook, IL 60062-8001 2013-08-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508487067 Cvs Aoc Services, L.L.C. Optometrist 936 Willow Road, Store 0141, Northbrook, IL 60062 2020-05-06
1386103885 Jennifer Venegas Behavior Technician 5 Revere Dr Suit 120, Northbrook, IL 60062 2019-03-14
1720558281 Taylor Hundley Behavior Technician 5 Revere Dr. Suite 120, Northbrook, IL 60062 2018-11-27
1609344027 Melissa Cepeda Behavior Technician 5 Revere Dr Suite 120, Northbrook, IL 60062 2018-11-03
1235606658 Candace Cheyenne Kaiser Behavior Technician 5 Revere Dr, Suite 120, Northbrook, IL 60062 2018-10-24
1275058745 The Renfrew Center of Illinois Counselor 5 Revere Dr, Suite 100, Northbrook, IL 60062 2017-08-07
1467984773 Ayzenshteyn Chiropractic Chiropractor 3210 Doolittle Dr., Northbrook, IL 60062 2017-03-28
1396282695 Josephine Driscoll Physician Assistant 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 2017-01-24
1396297842 Lauren Raphael Lcsw LLC Social Worker 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 2016-11-01
1851847073 Jassim Vailoces Physical Therapist 634 Academy Dr, Northbrook, IL 60062 2016-08-28
Find all providers in zip 60062

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
1396386264 Pamela Jeaninne Krolik Behavior Technician 5 Revere Dr Ste 126, Northbrook, IL 60062-1566 2019-10-02
1265090526 Kate Elizabeth Voss Behavior Technician 3480 Merle Ln, Northbrook, IL 60062-7114 2019-06-03
1205492717 Wendy J Wallace Behavior Technician 5 Revere Dr Ste 5120, Northbrook, IL 60062-1566 2019-05-10
1386103885 Jennifer Venegas Behavior Technician 5 Revere Dr Suit 120, Northbrook, IL 60062 2019-03-14
1699232983 Abiodun Ogunsola Behavior Technician 5 Revere Dr Ste 210, Northbrook, IL 60062-1566 2019-02-22
1720558281 Taylor Hundley Behavior Technician 5 Revere Dr. Suite 120, Northbrook, IL 60062 2018-11-27
1609344027 Melissa Cepeda Behavior Technician 5 Revere Dr Suite 120, Northbrook, IL 60062 2018-11-03
1235606658 Candace Cheyenne Kaiser Behavior Technician 5 Revere Dr, Suite 120, Northbrook, IL 60062 2018-10-24
1043795297 Charlotte T Close Behavior Technician 5 Revere Dr Ste 102, Northbrook, IL 60062-1567 2018-10-03
1811470370 Matthew Jeffrey Soloway Behavior Technician 5 Revere Dr Ste 1205, Northbrook, IL 60062-1566 2018-09-11
Find all providers in NORTHBROOK

Competitor

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City NORTHBROOK
Zip Code 60062

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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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