Active NPI
Derek Edward Prejna, BCBA
- Behavior Analyst
- Plainfield, IL
National Provider Identifier
1053197707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-45111
- Practice address
- 7000 Caton Farm Rd Ste Eandr
Plainfield, IL 60586-8107 - Phone
- (815) 491-1111
- NPI assigned
- Sep 7, 2023
- Sex
- Male
- Sole proprietor
- No
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 Analyst | 103K00000X | 1-20-45111 | IL | Primary |
Addresses
Primary practice location
7000 Caton Farm Rd Ste Eandr
Plainfield, IL 60586-8107
Mailing address
1220 Denver CT
Naperville, IL 60540-0904
Phone (630) 345-0825
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": "1694044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1053197707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 DENVER CT",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605400904",
"telephone_number": "630-345-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 CATON FARM RD STE EANDR",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605868107",
"telephone_number": "815-491-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREJNA",
"first_name": "DEREK",
"middle_name": "EDWARD",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-07",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-20-45111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.