Jill Marie Grass, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-45810 Issued in IL

Practice address

39441 N Circle Ave
Antioch, IL 60002-8782

Phone

(847) 271-0001

NPI assigned

Jun 7, 2018

Last updated

Nov 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Caravel Autism Health, LLC

  • Behavior Analyst
  • Green Bay, WI
  • NPI 1588993091
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1457844136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39441 N CIRCLE AVE",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600028782",
            "telephone_number": "847-271-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39441 N CIRCLE AVE",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600028782",
            "telephone_number": "847-271-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASS",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-20-45810",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-17-40971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeri Galloway, MOT,OTR/L
• Jessica Gebbink, LCSW
• Joseph Paul Gomes, PHARM.D.
• Reesa Gorenstein, ED.S
• Grass Lake School Dist No 36
• Colleen Mary Green
• Alecia Grever, LCPC
• Lorelei Lynne Grise', D.D.S.
• Claudia Gutierrez
• Chanel Hampton

• Behavior Analyst in Antioch, IL
• Providers in Antioch, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.