Individual provider Active NPI

Ashtynn Edenhofer

  • Behavior Analyst
  • Bensenville, IL
National Provider Identifier
1033644422
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-24449 Issued in IL
Practice address
1011 S Center St
Bensenville, IL 60106-3311
Phone
(847) 471-4743
Fax
(630) 216-7450
NPI assigned
Apr 24, 2017
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 152.000965 IL
Behavior Analyst 103K00000X 1-16-24449 IL Primary

Addresses

Primary practice location

1011 S Center St
Bensenville, IL 60106-3311

Mailing address

1011 S Center St
Bensenville, IL 60106-3311
Phone (847) 471-4743

Other practice location 1

400 E 22nd St Ste A
Lombard, IL 60148-6104
Phone (630) 919-8218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
152.000965ILMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Aces Behavior Consulting LLC CurrentSince May 18, 2025 Accepting new patients
Autism Home Support Services, Inc Behavior Analyst PastSince Jan 1, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1033644422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S CENTER ST",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063311",
            "telephone_number": "847-471-4743",
            "fax_number": "630-216-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S CENTER ST",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063311",
            "telephone_number": "847-471-4743",
            "fax_number": "630-216-7450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E 22nd St Ste A",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601486104",
            "country_code": "US",
            "telephone_number": "630-919-8218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDENHOFER",
        "first_name": "ASHTYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "152.000965",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-16-24449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.