DANIEL RAY GRISHAM (NPI# 1891261871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891261871 |
| Entity Type | Individual |
| Full Name | DANIEL RAY GRISHAM |
| Practice Address |
902 W Main St West Frankfort IL 62896-2210 |
| Practice Telephone | 6189376483 |
| Practice Fax Number | 6189374709 |
| Mailing Telephone | 6189376483 |
| Mailing Fax Number | 6189374709 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073557575 | Daniel W. Grisham Sr. | Internal Medicine | 2000 E Greenville St Ste 2300, Anderson, SC 29621-1721 | 2006-06-15 |
| Street Address |
902 W MAIN ST |
| City | WEST FRANKFORT |
| State | IL |
| Zip Code | 62896-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694237 | Leatha Barber | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2020-06-19 |
| 1932733904 | Brittany Goldsberry | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2020-02-27 |
| 1588202816 | Amanda Kistner | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-12-17 |
| 1780222513 | Amanda Denney | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-12-11 |
| 1154965416 | Hannah Sullivan | Counselor | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-10-30 |
| 1235770199 | Sherry Gibbens | Social Worker | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-10-02 |
| 1033677687 | Brittany Vaughn | Social Worker | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-03-02 |
| 1326502816 | Theresa Herron | Social Worker | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-01-29 |
| 1003370255 | Donnell Mccauley Jr. | Behavioral Analyst | 902 W Main St, West Frankfort, IL 62896-2210 | 2019-01-22 |
| 1467928036 | Brian Brown | Social Worker | 902 W Main St, West Frankfort, IL 62896-2210 | 2018-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417468406 | Desrie Dawn Farley | Psychologist | 508 East Main, West Frankfort, IL 62896 | 2017-10-17 |
| 1205346657 | Erin Hutchinson | Speech-Language Pathologist | 1401 W Sixth St, West Frankfort, IL 62896 | 2017-10-11 |
| 1326499740 | Casey Huff | Counselor | 202 South Bentley St, Marion, IL 62896 | 2016-06-27 |
| 1629321922 | Sage Psychiatry LLC | Psychiatry & Neurology | 410 W St Louis Street, West Frankfort, IL 62896 | 2012-10-24 |
| 1497907737 | Angela H Henson | Physician Assistant | 310 West St. Louis Street, West Frankfort, IL 62896 | 2008-10-17 |
| 1881884187 | Homestead House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 North Jefferson, West Frankfort, IL 62896 | 2007-08-01 |
| 1528266608 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | 502 West St Louis Street, West Frankfort Community Health Center, West Frankfort, IL 62896 | 2007-07-10 |
| 1437212016 | National Assistance Bureau, Inc. | Skilled Nursing Facility | Westside Care Center, 601 North Columbia St, West Frankfort, IL 62896 | 2006-12-18 |
| 1922176171 | Sebastian John Pagano | Dentist | 208 North Ida, West Frankfort, IL 62896 | 2006-12-04 |
| 1023123346 | Logan Primary Care Service Corp. | Clinic/Center | 502 W St Louis, West Frankfort, IL 62896 | 2006-08-19 |
| Find all providers in zip 62896 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1891326773 | Berikisu Atojoko | Assistant Behavior Analyst | 2953 Old Renwick Cir, Plainfield, IL 60544-2246 | 2020-01-30 |
| 1679113948 | Tiffany Zenisek | Assistant Behavior Analyst | 133 Boulder Hill Pass, Montgomery, IL 60538-2325 | 2020-01-14 |
| 1285273805 | Samantha Weyman | Assistant Behavior Analyst | 119 S Harvey Ave, Oak Park, IL 60302-2703 | 2019-12-30 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1427692201 | Cynthia Mrotek | Assistant Behavior Analyst | 13071 Dunmoor Dr, Lemont, IL 60439-2741 | 2019-11-04 |
| 1518425644 | Nancy R Huffman | Assistant Behavior Analyst | 4224 Lincolnshire Dr Ste A, Mount Vernon, IL 62864-2156 | 2019-03-07 |
| 1194298158 | Kirsten Luna | Assistant Behavior Analyst | 8448 Karlov Ave, Skokie, IL 60076-2103 | 2019-01-02 |
| 1982176285 | Anita Lomax | Assistant Behavior Analyst | 206 E Washington St Apt A, Joliet, IL 60433-1006 | 2018-12-26 |
| 1285118414 | Ashley Marie Walsh | Assistant Behavior Analyst | 9510 Saint Clair Ave, Fairview Heights, IL 62208-1639 | 2018-09-24 |
| 1790264927 | Independent With Autism | Assistant Behavior Analyst | 100 Saunders Rd Ste 150, Lake Forest, IL 60045-2526 | 2018-08-08 |
| Find all providers with the same taxonomy | ||||
| City | WEST FRANKFORT |
| Zip Code | 62896 |
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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.