Active NPI
Imani K Walker
- Behavior Technician
- Bolingbrook, IL
National Provider Identifier
1043020324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-374429
- Practice address
- 344 Kirkwood Cir
Bolingbrook, IL 60440-1972 - Phone
- (630) 914-0273
- NPI assigned
- Jan 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-374429 | Primary |
Addresses
Primary practice location
344 Kirkwood Cir
Bolingbrook, IL 60440-1972
Mailing address
344 Kirkwood Cir
Bolingbrook, IL 60440-1972
Phone (630) 914-0273
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1043020324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 KIRKWOOD CIR",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604401972",
"telephone_number": "630-914-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 KIRKWOOD CIR",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604401972",
"telephone_number": "630-914-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "IMANI",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-24-374429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.