Blair Drewke, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-16605 Issued in IL

Practice address

655 W Grand Ave
Ste 100
Elmhurst, IL 60126-1060

Phone

(630) 359-3629

NPI assigned

Aug 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Total Spectrum, LLC

  • Behavior Analyst
  • Elmhurst, IL
  • NPI 1922423177
  NPD (past)

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1013393016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W GRAND AVE",
            "address_2": "STE 100",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261060",
            "telephone_number": "630-359-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W GRAND AVE",
            "address_2": "STE 100",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261060",
            "telephone_number": "630-359-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREWKE",
        "first_name": "BLAIR",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-14-16605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Lin and Associates S C
• Dr Marianne S Laskowski LTD
• Cari Ann Drake, FNP-BC
• Melissa Martens Drake, DO
• Dramedy7 Fitness, LLC
• Jaylene Angelys Driskill
• Marissa Dronen, DPT
• Jose G Duarte, M.D.
• Aimee Adams Duax, LCSW, RYT
• Taylor James Duckett, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.