AUTISM SERVICE PROVIDER & BEYOND, LLC (NPI# 1972790582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972790582 |
| Entity Type | Organization |
| Organization Name | AUTISM SERVICE PROVIDER & BEYOND, LLC |
| Practice Address |
800 W 5th Ave Ste. 106 F/g Naperville IL 60563-8965 |
| Practice Telephone | 6306391655 |
| Mailing Telephone | 6306391655 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2010-06-16 |
| Authorized Official Name | KIYA OLSON (CEO) |
| Authorized Official Telephone | 6306391655 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 222Q00000X | Developmental Therapist | KW48321203P | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AUTISM SERVICE PROVIDER & BEYOND, LLC | 800 W 5th Ave Ste 104, Naperville, IL 60563-8965 |
| Street Address |
800 W 5TH AVE STE. 106 F/G |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-8965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170185 | Aspb Therapy Pathways | Counselor | 800 W 5th Ave, Ste 104, Naperville, IL 60563-8965 | 2019-12-10 |
| 1356865075 | Cynthia Leslie Rupp | Contractor | 800 W 5th Ave, Naperville, IL 60563-8965 | 2017-08-03 |
| 1184158818 | Kiersten Amport | Social Worker | 800 W 5th Ave, Suite # 205i, Naperville, IL 60563-8965 | 2017-04-19 |
| 1841724341 | Joy Anderson | Contractor | 800 W 5th Ave, Ste 102 A, Naperville, IL 60563-8965 | 2017-04-12 |
| 1053853036 | Premiercare Consulting, LLC | Case Management | 800 W 5th Ave, Naperville, IL 60563-8965 | 2016-11-08 |
| 1831640424 | Advance Sports Therapy | Mechanotherapist | 800 W 5th Ave, Suite 100g, Naperville, IL 60563-8965 | 2016-10-18 |
| 1952850778 | Azlaan Arif | Mechanotherapist | 800 W 5th Ave, Suite 100g, Naperville, IL 60563-8965 | 2016-09-22 |
| 1336522622 | Samantha Ross | Contractor | 800 W 5th Ave, Ste. 102 A, Naperville, IL 60563-8965 | 2015-07-04 |
| 1457754574 | Jose Antonio Castro IIi | Contractor | 800 W 5th Ave, Suite 102a, Naperville, IL 60563-8965 | 2014-10-02 |
| 1174937007 | Alison Tews | Contractor | 800 W 5th Ave, Ste. 102 A, Naperville, IL 60563-8965 | 2014-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427696285 | Lisa Diaz | Developmental Therapist | 320 W Gartner Rd, Naperville, IL 60540-7515 | 2019-12-11 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1063953651 | Jessica Nicole Stajdohar Young | Developmental Therapist | 7625 Gladstone Dr, Unit 101, Naperville, IL 60565-1122 | 2017-03-15 |
| 1386181154 | Destiny Puente | Developmental Therapist | 2690 Wabash Ct, Naperville, IL 60565-6314 | 2017-01-31 |
| 1962874982 | Catherine Lash | Developmental Therapist | 23256 Rebecca Ct, Naperville, IL 60564-4710 | 2015-10-29 |
| 1477962025 | Amber King | Developmental Therapist | 6s210 Mariwood Ct, Naperville, IL 60540-3840 | 2014-08-07 |
| 1780092122 | Cheryl Newman | Developmental Therapist | 1103 Whirlaway Ave, Naperville, IL 60540-7742 | 2014-07-29 |
| 1124436605 | Allison Pozzi | Developmental Therapist | 25w231 Mayflower Ave, Naperville, IL 60540-3515 | 2014-07-28 |
| 1265847834 | Kirsten Bara | Developmental Therapist | 1839 River Ridge Cir, Naperville, IL 60565-2400 | 2014-06-23 |
| 1922440528 | Jolanta Kolacz | Developmental Therapist | 1535 Abbotsford Dr, Naperville, IL 60563-2089 | 2013-07-23 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
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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.