MISS ALEXANDRA KRISTEN PETZ (NPI# 1841592961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841592961 |
| Entity Type | Individual |
| Full Name | MISS ALEXANDRA KRISTEN PETZ |
| Credential | M.A. |
| Practice Address |
9649 W 55th St Countryside IL 60525-3632 |
| Practice Telephone | 7083523580 |
| Practice Fax Number | 7083522715 |
| Mailing Telephone | 7083523580 |
| Mailing Fax Number | 7083522715 |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
9649 W 55TH ST |
| City | COUNTRYSIDE |
| State | IL |
| Zip Code | 60525-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093823148 | Rebecca Dawn Missioni | Occupational Therapist | 9649 W 55th St, Countryside, IL 60525 | 2006-08-28 |
| 1730787532 | Elizabeth Warren | Behavioral Analyst | 9649 W 55th St, Countryside, IL 60525-3699 | 2020-10-14 |
| 1225644149 | Allison Marie Alexander | Student in an Organized Health Care Education/Training Program | 9649 W 55th St, Countryside, IL 60525-3699 | 2020-09-16 |
| 1831738251 | Peggy Prendergast | Registered Nurse | 9649 W 55th St, Countryside, IL 60525-3699 | 2020-01-02 |
| 1689233348 | Maya Hansoti | Speech-Language Pathologist | 9649 W 55th St, Countryside, IL 60525-3699 | 2019-06-06 |
| 1689139339 | Amy E Perino | Occupational Therapist | 9649 W 55th St, Countryside, IL 60525-3699 | 2019-02-07 |
| 1619440955 | Nolita P Hart | Licensed Practical Nurse | 9649 W 55th St, Countryside, IL 60525-3699 | 2019-01-09 |
| 1649754433 | Lauren M Ambrose | Behavioral Analyst | 9649 W 55th St, Countryside, IL 60525-3699 | 2018-09-18 |
| 1124511712 | Amane N Salem | Occupational Therapist | 9649 W 55th St, Countryside, IL 60525-3632 | 2018-06-08 |
| 1578065835 | Kelly Mckay | Behavioral Analyst | 9649 W 55th St, Countryside, IL 60525-3632 | 2018-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063923837 | Cheryl Buhrke | Speech-Language Pathologist | 1301 W. Cossitt Ave., La Grange, IL 60525 | 2017-10-19 |
| 1881113462 | Karen Aluise | Speech-Language Pathologist | 6818 Joliet Rd. #2, Indian Head Park, IL 60525 | 2017-09-14 |
| 1689126997 | Adriana Digianfilippo | Occupational Therapist | 18 N. Catherine, Lagrange, IL 60525 | 2016-11-03 |
| 1679953582 | Paulina Pinzon | Counselor | 6548 Laurel Avenue, Indian Head Park, IL 60525 | 2015-06-05 |
| 1639446925 | Aarti Parikh | Pharmacist | 6600 S. Willow Springs Rd, Indian Head Park, IL 60525 | 2011-11-30 |
| 1831476795 | Jessica E Feller | Physician Assistant | 6555 South Willow Springs Road, Suite 6, Countryside, IL 60525 | 2011-11-07 |
| 1477833218 | Robyn Lee Frendling | Behavioral Analyst | 9649 W. 55th St, Countryside, IL 60525 | 2011-08-25 |
| 1457630543 | Kerri E Kabela | Physical Therapist | 705 W. Plainfield Rd, Suite 1, Countryside, IL 60525 | 2011-08-08 |
| 1275826984 | G&u Orthopedic, LLC | Durable Medical Equipment & Medical Supplies | 106 W. Calendar Ave., 127, La Grange, IL 60525 | 2011-05-27 |
| 1952609752 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 705 W. Plainfield Road, Suite 1, Countryside, IL 60525 | 2011-03-03 |
| Find all providers in zip 60525 | ||||
| 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 |
|---|---|---|---|---|
| 1477833218 | Robyn Lee Frendling | Behavioral Analyst | 9649 W. 55th St, Countryside, IL 60525 | 2011-08-25 |
| 1730787532 | Elizabeth Warren | Behavioral Analyst | 9649 W 55th St, Countryside, IL 60525-3699 | 2020-10-14 |
| 1649754433 | Lauren M Ambrose | Behavioral Analyst | 9649 W 55th St, Countryside, IL 60525-3699 | 2018-09-18 |
| 1578065835 | Kelly Mckay | Behavioral Analyst | 9649 W 55th St, Countryside, IL 60525-3632 | 2018-03-02 |
| 1356887012 | Maya C Williams | Behavioral Analyst | 9649 W 55th St, Countryside, IL 60525-3632 | 2017-01-18 |
| 1356897946 | Kari Taylor | Behavioral Analyst | 9649 W 55th St, Countryside, IL 60525-3632 | 2016-09-01 |
| 1255700860 | Angela Mendoza | Behavioral Analyst | 9649 W 55th St, Countryside, IL 60525-3632 | 2015-09-24 |
| 1669763512 | Kristin C Greenwood | Behavioral Analyst | 9649 W 55th St, Countryside, IL 60525-3632 | 2011-04-27 |
| 1326285792 | Elizabeth J Joseph | Behavioral Analyst | 9649 W 55th St, Countryside, IL 60525-3632 | 2009-01-07 |
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|---|---|---|---|---|
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| 1134729254 | Daniel Christopher Schmidt | Behavioral Analyst | 1500 N Clybourn Ave Unit 105, Chicago, IL 60610-3017 | 2020-10-28 |
| 1235738410 | Dejan Milic | Behavioral Analyst | 900 E Wilmette Rd Unit 108, Palatine, IL 60074-6485 | 2020-10-20 |
| 1811594138 | Jj Kelley Behavioral Consulting, LLC | Behavioral Analyst | 16561 Paulina St, Markham, IL 60428-5847 | 2020-10-08 |
| 1184221574 | Orion Aba Inc. | Behavioral Analyst | 1500 Eisenhower Ln Ste 300, Lisle, IL 60532-2132 | 2020-10-08 |
| 1982201356 | Songbird Health Il LLC | Behavioral Analyst | 2045 W Grand Ave, Chicago, IL 60612-1576 | 2020-10-07 |
| 1477160620 | Solid Ground Foundation for Behavioral Services | Behavioral Analyst | 2033 198th Street, Lynwood, IL 60411-6080 | 2020-09-30 |
| 1447866363 | Allison Gratz | Behavioral Analyst | 9139 S Commercial Ave, Chicago, IL 60617-4300 | 2020-09-16 |
| 1902411069 | Timeica E Bethel | Behavioral Analyst | 47 W Polk St Ste 100-240, Chicago, IL 60605-2000 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | COUNTRYSIDE |
| Zip Code | 60525 |
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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.