MATTIE C JOHNSON
Behavior Technician

Address: 12436 S Wallace St, Chicago, IL 60628-7128

MATTIE C JOHNSON (NPI# 1861072449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861072449
Entity Type Individual
Full Name MATTIE C JOHNSON
Gender Female
Practice Address 12436 S Wallace St
Chicago
IL 60628-7128
Practice Telephone 7735695086
Mailing Address 12436 S Wallace St
Chicago
IL 60628-7128
Mailing Telephone 7735695086
Certification Date 2021-04-08
Enumeration Date 2021-04-08
Last Update Date 2021-04-08
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 12436 S WALLACE ST
City CHICAGO
State IL
Zip Code 60628-7128

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407305337 Samuella Mcknight Licensed Practical Nurse 12442 S Wallace St, Chicago, IL 60628-7128 2016-10-04

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1750857942 Myrna Pledger Counselor - Professional 259 W. 104th Pl., Chicago, IL 60628 2018-10-16
1073097184 4every1 Lab Inc. Clinical Medical Laboratory 10723 S Halsted St, Chicago, IL 60628 2018-09-24
1922594613 Northwest Adult Wellness Center LLC Clinic/Center - Adult Day Care 235 W 95th Suite 3, Chicago, IL 60628 2018-07-05
1669028312 Keyona Dena Puckett · Keyona Dena Gayles Nurse Practitioner - Family 9624 S Lowe Ave, Chicago, IL 60628-1011 2019-08-16
1023615994 Sandra Labastida Social Worker 9522 S Halsted St, Chicago, IL 60628-1028 2020-10-05
1952925935 Tequila L Williams Behavior Technician 9945 S Parnell Ave, Chicago, IL 60628-1230 2020-06-04
1457864407 Northwest Medical and Urgent Care Center At Yale and 95th Ltd Clinic/Center 237 W 95th St, Chicago, IL 60628-1321 2017-11-13
1801481007 Jennifer Basemore Behavioral Analyst 9932 S Lafayette Ave, Chicago, IL 60628-1340 2021-03-09
1447874078 Ashley Baker Social Worker - Clinical 9610 S Forest Ave, Chicago, IL 60628-1408 2020-05-29
1346843570 Antonique Akua Lactation Consultant, Non-RN 9811 S Michigan Ave Apt 1, Chicago, IL 60628-1447 2020-11-19
Find all providers in zip 60628

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114508884 Carla Thompson Behavior Technician 10905 S Morgan St, Chicago, IL 60643-3827 2021-04-15
1437738978 Jessica Florina Diaz Behavior Technician 10829 S Calhoun Ave Bsmt, Chicago, IL 60617-6421 2021-04-02
1831777697 Madeline Rose Carmona Behavior Technician 5731 S Kilbourn Ave, Chicago, IL 60629-4811 2021-03-31
1205412855 Masearte Abraha Behavior Technician 4400 W Wilson Ave, Chicago, IL 60630-4124 2021-03-23
1669067880 Anna E Footerman Behavior Technician 5651 N Rockwell St Apt 1, Chicago, IL 60659-4907 2021-03-09
1568057073 Stephanie Guadarrama Behavior Technician 1640 W Roosevelt Rd Ste 103, Chicago, IL 60608-1316 2021-03-05
1366037178 Mary Kaylle Idor Behavior Technician 4947 N Keystone Ave, Chicago, IL 60630-2808 2021-03-03
1497348429 Claire Olivia Holmes Behavior Technician 1640 W Roosevelt Rd # Mc727, Chicago, IL 60608-1316 2021-02-20
1992398374 Jamecia J Mcfarlin Behavior Technician 13120 S Eberhart Ave, Chicago, IL 60827-1327 2021-02-16
1881286623 Caitlin Bieda Behavior Technician 6637 N Northwest Hwy, Chicago, IL 60631-1351 2021-02-03
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60628

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Dataset Information

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.

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