Jonathan L Miceli

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

8609 W Bryn Mawr Ave Ste 204
Chicago, IL 60631-3524

Phone

(773) 644-7787

Fax

(224) 241-3132

NPI assigned

Dec 21, 2018

Last updated

Sep 21, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Autism Behavior Clinic Inc

  • Multi-Specialty Clinic/Center
  • Burr Ridge, IL
  • NPI 1235830803

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1003388521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N CLARENDON AVE APT 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405725",
            "telephone_number": "269-921-3250",
            "fax_number": "224-241-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 W BRYN MAWR AVE STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313524",
            "telephone_number": "773-644-7787",
            "fax_number": "224-241-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICELI",
        "first_name": "JONATHAN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA STATE LICENSE",
            "identifier": "152.003632",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Hoang Miao, OD
• Carissa Miara
• Jacek Miazek
• Sandra Jean Micci, PA-C
• Alan Micco, MD
• Amanda Noel Mich, MS
• Michael a. Acierno, DDS PC (Acierno Family Dentistry)
• Michael a. Luckett, DMD & Associates (Western (DentalWorks)
• Michael a. Wood, D.P.M., P.C.
• Michael C Griffin LTD (Northalsted Dental Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.