MARISSA BENNETT (NPI# 1952858409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952858409 |
| Entity Type | Individual |
| Full Name | MARISSA BENNETT |
| Credential | BCBA |
| Practice Address |
4711 Golf Rd 100 Skokie IL 60076-1224 |
| Mailing Address |
9309 Lockwood Ave Skokie IL 60077-1139 |
| Practice Telephone | 8476765398 |
| Practice Fax Number | 7733454608 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-15-18740 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447716121 | Marissa Ann Bennett | Marriage & Family Therapist | 5503 Cahuenga Blvd Ste 201, North Hollywood, CA 91601-2944 | 2019-02-18 |
| 1518106103 | Marissa J Bennett | Counselor | 9693 Grissom Dr, Midwest City, OK 73130-3531 | 2009-02-05 |
| 1063757979 | Marissa Renee Bennett | Physician Assistant | 99 Autumn St, Aliquippa, PA 15001-1301 | 2012-12-04 |
| Street Address |
4711 GOLF RD 100 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497752893 | Alice Chen | Legal Medicine | 4711 Golf Rd, Suite 808, Skokie, IL 60076-1224 | 2005-06-30 |
| 1811418015 | Pr Orthotics & Ot LLC | Durable Medical Equipment & Medical Supplies | 4711 Golf Rd, Skokie, IL 60076-1224 | 2017-06-28 |
| 1528507548 | Elizabeth Hultman | Nurse Practitioner | 4711 Golf Rd, Skokie, IL 60076-1224 | 2017-02-23 |
| 1609314616 | Mary Lally | Behavioral Analyst | 4711 Golf Rd, Suite 100, Skokie, IL 60076-1224 | 2017-02-09 |
| 1821536822 | Steinberg Behavior Solutions | Community/Behavioral Health | 4711 Golf Rd, Suite 100, Skokie, IL 60076-1224 | 2017-02-09 |
| 1205372067 | Olasunkanmi Ogedegbe | Nurse Practitioner | 4711 Golf Rd, Suite 1250, Skokie, IL 60076-1224 | 2017-01-17 |
| 1326495243 | Michelle Fisher | Social Worker | 4711 Golf Rd, Suite 400, Skokie, IL 60076-1224 | 2016-05-20 |
| 1336503119 | Rebecca Arends | Counselor | 4711 Golf Rd, Suite 1200, Skokie, IL 60076-1224 | 2016-04-07 |
| 1992169015 | Jarret Helstern | Nurse Practitioner | 4711 Golf Rd, Suite 1200, Skokie, IL 60076-1224 | 2016-04-06 |
| 1255793162 | Julie Pak | Nurse Practitioner | 4711 Golf Rd, Suite 1250, Skokie, IL 60076-1224 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| 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 |
|---|---|---|---|---|
| 1225673858 | Christine Rose Witt | Behavioral Analyst | 5246 Palma Pl, Skokie, IL 60077-1120 | 2019-11-07 |
| 1003466186 | Marissa Bennett Consulting, LLC | Behavioral Analyst | 9309 Lockwood Ave, Skokie, IL 60077-1139 | 2019-09-19 |
| 1841754793 | Isela Blanca Stephens | Behavioral Analyst | 9031 Knox Ave Apt Eg, Skokie, IL 60076-1582 | 2019-01-24 |
| 1831618586 | Katie Giovanetto | Behavioral Analyst | 8707 Skokie Blvd Bldg Suite402, Skokie, IL 60077-2269 | 2017-09-13 |
| 1679093173 | Lindsay R Fettner | Behavioral Analyst | 5225 Old Orchard Rd Ste 15, Skokie, IL 60077-1027 | 2017-06-26 |
| 1861921827 | Skyelar Love | Behavioral Analyst | 4711 Golf Rd Ste 100, Skokie, IL 60076-1239 | 2017-06-05 |
| 1114272127 | Margarita Metoyer-rodriguez | Behavioral Analyst | 9327 Lavergne Ave, Skokie, IL 60077-1315 | 2012-07-16 |
| 1912267394 | Cicely Y Jiron | Behavioral Analyst | 9537 Keeler Ave, Skokie, IL 60076-1444 | 2012-05-21 |
| 1265764203 | Aisha Daniele Shealey | Behavioral Analyst | 7670 Marmora Ave, Skokie, IL 60077-2628 | 2010-02-02 |
| 1003007550 | Brooke Ellyn Schneider | Behavioral Analyst | 4000 Grove St, Suite 200, Skokie, IL 60076-1712 | 2007-08-08 |
| Find all providers in SKOKIE | ||||
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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.