Djje Holdings LLC (NPI# 1477001766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1477001766 |
| Entity Type | Organization |
| Organization Name | DJJE HOLDINGS LLC |
| Other Organization Name | THE PLACE FOR CHILDREN WITH AUTISM |
| Practice Address |
8609 W Bryn Mawr Ave Ste 204 Chicago IL 60631 |
| Practice Telephone | 2244360788 |
| Practice Fax Number | 2242413132 |
| Mailing Address |
8609 W Bryn Mawr Ave Ste 204 Chicago IL 60631-3524 |
| Mailing Telephone | 2244360788 |
| Mailing Fax Number | 2242413132 |
| Authorized Official Name | Daniel Blank (OWNER/CEO) |
| Authorized Official Telephone | 2242411784 |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2020-06-13 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| No | 103TS0200X | Psychologist · School | Behavioral Health & Social Service Providers | ||
| No | 1041S0200X | Social Worker · School | Behavioral Health & Social Service Providers | ||
| Yes | 103K00000X | Behavior Analyst | Behavioral Health & Social Service Providers |
| State | Identifier | Issuer | Type Code |
|---|---|---|---|
| IL | 000-14770017633 | MEDICAID |
| Other Name | Type Code |
|---|---|
| The Place for Children with Autism | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10901 S Trumbull Ave, Chicago, IL 606553323 | 2244360788 | |
| 1718 S Loomis St, Chicago, IL 606082129 | 2244360788 | |
| 2600 W Irving Park Rd, Chicago, IL 606183602 | 2244360788 | |
| 2701 W Peterson Ave, Chicago, IL 606593919 | 2244360788 | |
| 301 S Vine St, Urbana, IL 618013347 | 2244360788 | 2242413132 |
| 3139 W 111th St, Chicago, IL 60655 | 2244360788 | 2242413132 |
| 3501 W 26th St, Chicago, IL 606233910 | 2244360788 | 2242413132 |
| 401 S Milwaukee Ave, Suite 295, Wheeling, IL 600905070 | 2242411784 | |
| 4145 W Armitage Ave, Chicago, IL 606393644 | 2244360788 | 2242413132 |
| 5310 W Cermak Rd Fl 3, Cicero, IL 608042816 | 2244360788 | 2242413132 |
| 6202 W Montrose Ave, Chicago, IL 606341556 | 2244360788 | |
| 9023 S Commercial Ave, Chicago, IL 606174304 | 2244360788 | 2242413132 |
| 9139 S Commercial Ave, Chicago, IL 606174300 | 2244360788 | 2242413132 |
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior 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 |
|---|---|---|---|---|
| 1275137317 | Hadassah Lebovits | Behavior Analyst | 6220 N Lawndale Ave, Chicago, IL 60659-1104 | 2020-11-30 |
| 1134729254 | Daniel Christopher Schmidt | Behavior Analyst | 1500 N Clybourn Ave Unit 105, Chicago, IL 60610-3017 | 2020-10-28 |
| 1982201356 | Songbird Health Il LLC | Behavior Analyst | 2045 W Grand Ave, Chicago, IL 60612-1576 | 2020-10-07 |
| 1447866363 | Allison Gratz | Behavior Analyst | 9139 S Commercial Ave, Chicago, IL 60617-4300 | 2020-09-16 |
| 1902411069 | Timeica E Bethel | Behavior Analyst | 47 W Polk St Ste 100-240, Chicago, IL 60605-2000 | 2020-09-14 |
| 1982217931 | Jazmin Martinez | Behavior Analyst | 6653 S Washtenaw Ave, Chicago, IL 60629-1717 | 2020-08-28 |
| 1053924688 | Molly White | Behavior Analyst | 1925 S Archer Ave, Chicago, IL 60616-1618 | 2020-08-24 |
| 1215547666 | Morgan Campo | Behavior Analyst | 1241 W Draper St Fl 1, Chicago, IL 60614-2118 | 2020-07-31 |
| 1740807338 | Brittany Tayla Silvers | Behavior Analyst | 520 N Kingsbury St Unit 1107, Chicago, IL 60654-8770 | 2020-06-29 |
| 1578182036 | Il Sprout Mc 1 LLC | Behavior Analyst | 1440 W Taylor St # 1173, Chicago, IL 60607-4623 | 2020-04-14 |
| Find all providers in CHICAGO | ||||
| Street Address |
8609 W BRYN MAWR AVE STE 204 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
| 1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1912411893 | Briggs Therapy Group, LLC | Counselor | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
| 1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
| 1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| 1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| 1639582562 | Andrew Skolarz | Family Medicine | 7447 W Talcott Ave Ste 366, Chicago, IL 60631 | 2014-06-09 |
| Find all providers in zip 60631 | ||||
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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.