ANDREA RIDGWAY (NPI# 1831460948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831460948 |
| Entity Type | Individual |
| Full Name | ANDREA RIDGWAY |
| Credential | PH.D, BCBA-D |
| Practice Address |
1161 Lake Cook Rd Deerfield IL 60015-5649 |
| Practice Telephone | 8474985437 |
| Practice Fax Number | 2242581400 |
| Mailing Telephone | 8474985437 |
| Mailing Fax Number | 2242581400 |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 995 | LA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PSY21533 | CA | Behavioral Health & Social Service Providers |
| Y | 103K00000X | Behavioral Analyst | 1-04-2097 | Behavioral Health & Social Service Providers |
| Street Address |
1161 LAKE COOK RD |
| City | DEERFIELD |
| State | IL |
| Zip Code | 60015-5649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316066434 | Julie Michelle Paskar | Speech-Language Pathologist | 1161 Lake Cook Rd, Deerfield, IL 60015 | 2007-03-28 |
| 1831704808 | Connie Lay-ngo | Speech-Language Pathologist | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-09-15 |
| 1801404876 | Casie Henrikson | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-07-16 |
| 1174140230 | Anne Nanninga | Behavioral Analyst | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-07-06 |
| 1558987545 | Angelina Fidowicz | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-06-25 |
| 1245854264 | Sarah Burke | Occupational Therapist | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-06-05 |
| 1124641592 | Erin Sullivan | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-05-20 |
| 1376166744 | Ryan J Schneider | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-05-20 |
| 1811523566 | Barbara Schroeder | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-03-13 |
| 1295360188 | Jeremiah Sweeting | Behavior Technician | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073569 | Steven A Ditgen | Physical Therapist | 43 N. Waukegan Road, Deerfield, IL 60015 | 2020-04-29 |
| 1760017255 | Amanda Barkley | Pharmacist | 200 Wilmont Rd, Deerfield, IL 60015 | 2020-03-05 |
| 1467001487 | Nora Fahmi | Pharmacist | Walgreen Co., 200 Wilmot Road, Deerfield, IL 60015 | 2019-09-11 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1528628484 | Cynthia Lynne Mckinzie | Psychologist | The Neuroscience Center, 440 Lake Cook Road, Deerfield, IL 60015 | 2019-06-13 |
| 1073084497 | Mary Jeane Jeane Velez | Nurse Practitioner | Brentwood Rehabilitation Center, 3705 Deerfield Rd., Deerfield, IL 60015 | 2018-12-11 |
| 1891264644 | Smile On of North Shore, PC | Dentist | 707 Lake Cook Rd., Suite 121, Deerfield, IL 60015 | 2018-11-21 |
| 1497236376 | Linda Li | Counselor | 15 Parkway North Blvd, Deerfield, IL 60015 | 2018-08-28 |
| 1174009831 | Rachael Michelle Lynn | Physician Assistant | 1302 Hazel Ave, Deerfield, IL 60015 | 2018-07-16 |
| 1730675182 | Alexandra Lee Joseph | Social Worker | 420 Lake Cook Road, Suite 113, Deerfield, IL 60015 | 2018-07-09 |
| Find all providers in zip 60015 | ||||
| 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 |
|---|---|---|---|---|
| 1861902066 | Margaret Ann Ealy | Behavioral Analyst | 770 Lake Cook Rd Ste 230, Deerfield, IL 60015-4976 | 2017-10-03 |
| 1013214766 | Kathryn D Cole | Behavioral Analyst | 1506 Lita Ave, Deerfield, IL 60015-3533 | 2011-02-15 |
| 1477150407 | Mattie Spears | Behavioral Analyst | 770 Lake Cook Rd Ste 230, Deerfield, IL 60015-4976 | 2020-10-02 |
| 1528675857 | Michelle Guenette | Behavioral Analyst | 770 Lake Cook Rd Ste 230, Deerfield, IL 60015-4976 | 2020-09-30 |
| 1174140230 | Anne Nanninga | Behavioral Analyst | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2020-07-06 |
| 1083237895 | Shauntel Aamodt | Behavioral Analyst | 770 Lake Cook Rd Ste 230, Deerfield, IL 60015-4976 | 2020-05-27 |
| 1902431224 | Allison Gort | Behavioral Analyst | 770 Lake Cook Rd Ste 230, Deerfield, IL 60015-4976 | 2020-03-06 |
| 1457903445 | Kathryn Anne Erbach | Behavioral Analyst | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2019-07-10 |
| 1598325516 | Jordan Washburn | Behavioral Analyst | 770 Lake Cook Rd Ste 230, Deerfield, IL 60015-4976 | 2019-06-20 |
| 1083277495 | Scott Herbst | Behavioral Analyst | 1161 Lake Cook Rd, Deerfield, IL 60015-5649 | 2019-04-22 |
| Find all providers in DEERFIELD | ||||
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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.