Organization Active NPI

Transformation ABA

  • Behavior Analyst
  • Springfield, IL
National Provider Identifier
1033947510
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TRANSFORMATION ABA
Practice address
1154 N Bradfordton Rd
Springfield, IL 62711-6040
Phone
(217) 306-5834
NPI assigned
Jul 25, 2024
Last updated
Jun 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Brooke Walker, PH.D.NPI 1477829273
Title
Director
Phone
(217) 306-5834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1154 N Bradfordton Rd
Springfield, IL 62711-6040

Mailing address

1154 N Bradfordton Rd
Springfield, IL 62711-6040
Phone (217) 306-5834

Other identifiers 1

IdentifierTypeStateIssuer
104633305859002MedicaidIL

National Provider Directory

National Provider Directory

Locations

1154 N Bradfordton Rd
Springfield, IL 62711
Phone (217) 306-5834

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1033947510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 N BRADFORDTON RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116040",
            "telephone_number": "217-306-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 N BRADFORDTON RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116040",
            "telephone_number": "217-306-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "217-306-5834",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104633305859002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.