JMK Behavior Services

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-6811 Issued in IL

Legal business name

JMK BEHAVIOR SERVICES

Practice address

120 W Eastman St Ste 102B
Arlington Heights, IL 60004-5948

Phone

(815) 713-8792

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Joanna Marie Kooistra, MS, BCBA

Title

President

Phone

(815) 713-8792

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1609295757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W EASTMAN ST STE 102B",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045948",
            "telephone_number": "815-713-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W EASTMAN ST STE 102B",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045948",
            "telephone_number": "815-713-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMK BEHAVIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "KOOISTRA",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-713-8792",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-10-6811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunice Ji, CPR
• Michelle Jiang
• Sobha Jiby, MSN, FNP-C
• Jill Schoeneman-Parker, P.C.
• Jakeline Jimenez, RBT
• Joan Durlacher, Psy.D., LTD.
• Joan I Wood, LLC
• Joann F. Hamm, O.D., P.C.
• Shilpa B Jobalia, MS LMFT
• Rick L Jobski, M.D.

• Behavior Analyst in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.