MADELINE BOLTIN (NPI# 1972041960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972041960 |
Entity Type | Individual |
Full Name | MADELINE BOLTIN |
Practice Address |
2901 Finley Rd Ste 102 Downers Grove IL 60515-1774 |
Mailing Address |
2820 Pontiac Dr Apt 2911 Aurora IL 60502-8816 |
Practice Telephone | 6304956800 |
Enumeration Date | 2017-02-09 |
Last Update Date | 2020-03-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103K00000X | Behavioral Analyst | 1-18-32894 | IL | Behavioral Health & Social Service Providers |
N | 106S00000X | Behavior Technician | B43554192901 | IL | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3s140 Barkley Ave, Warrenville, IL 605551505 | 8883083728 |
Street Address |
2901 FINLEY RD STE 102 |
City | DOWNERS GROVE |
State | IL |
Zip Code | 60515-1774 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245306752 | Susan M Raad | Speech-Language Pathologist | 2901 Finley Rd Ste 102, Communication Clubhouse, Downers Grove, IL 60515-1774 | 2006-11-27 |
1346858032 | Jemma Grogan | Occupational Therapist | 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 | 2020-07-19 |
1467074047 | Jordan Norwood | Behavioral Analyst | 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 | 2020-05-18 |
1366094872 | Megan Steichen | Speech-Language Pathologist | 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 | 2019-07-15 |
1679036214 | Dominique Angela Sullivan | Developmental Therapist | 2901 Finley Rd Ste 102, Downers Grove, IL 60515 | 2019-04-10 |
1336603885 | Monika Griffel | Speech-Language Pathologist | 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 | 2019-01-29 |
1104380112 | Ashley Weppner | Occupational Therapist | 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 | 2019-01-23 |
1043717531 | Shelby Gunderson | Speech-Language Pathologist | 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 | 2018-04-10 |
1518462977 | Sarah Alter | Occupational Therapist | 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 | 2018-03-28 |
1780111963 | Jennifer Jones | Behavioral Analyst | 2901 Finley Rd Ste 102, Downers Grove, IL 60515 | 2017-05-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
Find all providers in zip 60515 |
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 |
---|---|---|---|---|
1952926164 | Tiana Monique Booth | Behavioral Analyst | 5844 Walnut Ave Apt 1a, Downers Grove, IL 60516-6022 | 2020-06-12 |
1730567017 | Jamie Specht | Behavioral Analyst | 5125 Blodgett Ave, #319, Downers Grove, IL 60515-5050 | 2015-05-07 |
1558780957 | Bethany Sabourin | Behavioral Analyst | 4323 Douglas Rd Apt 3b, Downers Grove, IL 60515-3001 | 2014-04-14 |
1689001919 | Brittany Printz | Behavioral Analyst | 8200 Woodglen Ln, #201, Downers Grove, IL 60516-4551 | 2013-10-01 |
1487957817 | Anna B Branski | Behavioral Analyst | 1717 Breasted Ave, Downers Grove, IL 60516-2443 | 2010-12-07 |
1588982631 | Alexandria Anne Salansky | Behavioral Analyst | 4545 Sherwood Ave, Downers Grove, IL 60515-3036 | 2010-05-13 |
1841439320 | Lisa Marie Burknap | Behavioral Analyst | 9 South 329 Cumnor, Downers Grove, IL 60516 | 2009-02-06 |
1871517623 | Karen Renee Harper | Behavioral Analyst | 8200 Woodglen Ln Apt 201, Downers Grove, IL 60516-4525 | 2006-07-26 |
1467074047 | Jordan Norwood | Behavioral Analyst | 2901 Finley Rd Ste 102, Downers Grove, IL 60515-1774 | 2020-05-18 |
1780111963 | Jennifer Jones | Behavioral Analyst | 2901 Finley Rd Ste 102, Downers Grove, IL 60515 | 2017-05-18 |
Find all providers in DOWNERS GROVE |
City | DOWNERS GROVE |
Zip Code | 60515 |
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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.