Individual provider Active NPI

Adajee Janay Banks, RBT

  • Behavior Technician
  • Troy, IL
National Provider Identifier
1063000891
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
7674 Plummer Business Dr
Troy, IL 62294-7604
Phone
(314) 275-0506
NPI assigned
Jan 7, 2021
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

7674 Plummer Business Dr
Troy, IL 62294-7604

Mailing address

5220 6TH Street Frontage Rd E Ste 1700
Springfield, IL 62703-5771
Phone (217) 525-8332

Other practice location 1

115 Rottingham Ct Ste A
Edwardsville, IL 62025-3677
Phone (217) 525-8332

Other practice location 2

449 S State Route 157
Edwardsville, IL 62025-4021
Phone (314) 275-0506

Other practice location 3

4559 Benes Ave
Glen Carbon, IL 62034-1541
Phone (217) 525-8332

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1063000891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 6TH STREET FRONTAGE RD E STE 1700",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035771",
            "telephone_number": "217-525-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7674 PLUMMER BUSINESS DR",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622947604",
            "telephone_number": "314-275-0506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Rottingham Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620253677",
            "country_code": "US",
            "telephone_number": "217-525-8332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "449 S State Route 157",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620254021",
            "country_code": "US",
            "telephone_number": "314-275-0506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4559 Benes Ave",
            "address_purpose": "LOCATION",
            "city": "Glen Carbon",
            "state": "IL",
            "postal_code": "620341541",
            "country_code": "US",
            "telephone_number": "217-525-8332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "ADAJEE",
        "middle_name": "JANAY",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.