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Deactivated NPI 1023586096 Deactivated / Inactive NPI Female Practitioner

Brianna Renee Campbell

Behavior Analyst • Park Ridge, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Brianna Campbell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 08, 2018
NPI Deactivation Date July 26, 2023
Total Practice Duration ~5 Years of Practice (2018 – 2023)

Professional Overview & Biography Verified Profile Summary

Brianna Campbell was a registered Behavior Analyst practicing in Park Ridge, IL. Throughout an active medical career spanning 5 years, Brianna Campbell provided care at the practice location at 575 BUSSE HWY UNIT C until profile deactivation on 2023-07-26.

Practice Location & Contact Primary Location

Practice Address

575 Busse Hwy Unit C

Park Ridge, IL 600683189

Telephone 8154691500
Associated Practice Facility / Clinic
🏢 Westside Aba Facility NPI 1245585777

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Park Ridge, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
9 Specialists

Practicing in Park Ridge, IL (3105 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-22
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License OK 1-23-63837

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Beverly Blust

Speech-Language Pathologist

NPI 1003332768
Jennifer Vargo , MS, CCC-SLP, L

Speech-Language Pathologist

NPI 1003343922

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence), L

Lauren Caratachea

Behavior Analyst

NPI 1013341031
Shannon Watson

Behavior Technician

NPI 1013481654
NPI 1013522747

Physical Therapist, Doctor of Physical Therapy

NPI 1013575232

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location August 22, 2024

Registered at 575 BUSSE HWY UNIT C, PARK RIDGE, IL 600683189 (Tel: 8154691500)

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Updated Business Mailing Address August 22, 2024

Registered at 575 BUSSE HWY UNIT C, PARK RIDGE, IL 600683189 (Tel: 8154691500)

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Updated Practice Location September 05, 2023

Registered at 7250 N CICERO AVE, LINCOLNWOOD, IL 607121643 (Tel: 8774864140)

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Updated Business Mailing Address September 05, 2023

Registered at 7250 N CICERO AVE, LINCOLNWOOD, IL 607121643 (Tel: 8774864140)

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Provider Name / Credentials Updated September 05, 2023

Recorded as BRIANNA CAMPBELL

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2023

Behavior Technician

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NPI Profile Deactivated July 26, 2023

Record deactivated on July 26, 2023

NPI Profile Active November 08, 2018

NPI status registered as active in NPPES database

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Updated Practice Location November 08, 2018

Registered at 5220 6TH STREET FRONTAGE RD E STE 1700, SPRINGFIELD, IL 627035771 (Tel: 2175258332)

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Updated Business Mailing Address November 08, 2018

Registered at 5220 6TH STREET FRONTAGE RD E STE 1700, SPRINGFIELD, IL 627035771 (Tel: 2175258332)

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Provider Name / Credentials Updated November 08, 2018

Recorded as BRIANNA CAMPBELL

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2018

Behavior Technician

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Initial NPI Registration & Enumeration November 08, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023586096
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2018
Last Update: August 22, 2024
Deactivation Date: July 26, 2023
Sole Proprietor: No

Mailing Address

575 Busse Hwy Unit C

Park Ridge, IL 600683189

Phone: 8154691500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.