AGNIESZKA MIKRUT (NPI# 1942786751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942786751 |
| Entity Type | Individual |
| Full Name | AGNIESZKA MIKRUT |
| Practice Address |
4222 Fishermans Ter Lyons IL 60534-1402 |
| Practice Telephone | 7083235496 |
| Mailing Telephone | 7083235496 |
| Enumeration Date | 2018-07-15 |
| Last Update Date | 2018-07-15 |
| 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 |
4222 FISHERMANS TER |
| City | LYONS |
| State | IL |
| Zip Code | 60534-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942729520 | Marcelina Alvarez | Speech-Language Pathologist | 4204 Rose Ave, Lyons, IL 60534 | 2017-09-14 |
| 1720455983 | Team Rehabilitation Il05, LLC | Physical Therapist | 8317 Ogden Avenue, Lyons, IL 60534 | 2015-08-24 |
| 1457477556 | Cynthia Marie Sodini | Social Worker | 8645 45th Street, Lyons, IL 60534 | 2007-03-21 |
| 1164597597 | William J Wise Md Sc | Internal Medicine | 7729 Ogden Ave, Lyons, IL 60534 | 2006-11-21 |
| 1558379495 | Mary Bernadette Wise | General Practice | 7929 Ogden Ave, Lyons, IL 60534 | 2006-08-04 |
| 1235165457 | Ronald James Losiewicz | Chiropractor | 3840 S Harlem Avenue, Lyons, IL 60534 | 2006-06-23 |
| 1902381122 | Sara Sabadosa | Physical Therapist | 8317 Ogden Avenue, Lyons, IL 60534 | 2018-10-03 |
| 1669410080 | Julie K Miyamasu | Nurse Practitioner | 4101 1st Ave, Lyons, IL 60534-1028 | 2006-06-04 |
| 1962000851 | Kwame Owusu-banahene | Pharmacist | 4101 1st Ave, Lyons, IL 60534-1028 | 2020-10-13 |
| 1285101550 | Laura E Kukulski | Nurse Practitioner | 4101 1st Ave, Lyons, IL 60534-1028 | 2018-10-25 |
| Find all providers in zip 60534 | ||||
| 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 |
|---|---|---|---|---|
| 1760083653 | A First Step Towards Hope Aba Services | Behavioral Analyst | 1711 N Autumn Dr, Joliet, IL 60431-8530 | 2020-11-05 |
| 1245830868 | Courtney Wall | Behavioral Analyst | 740 Quail Ridge Dr Unit D, Westmont, IL 60559-6148 | 2020-11-01 |
| 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 |
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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.