Active NPI
Peak Behavioral Health
- Behavior Analyst
- Burr Ridge, IL
National Provider Identifier
1063243095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- PEAK BEHAVIORAL HEALTH
- Practice address
- 124 Kraml Dr
Burr Ridge, IL 60527-0303 - Phone
- (630) 631-9623
- NPI assigned
- Aug 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shaden Kassar
- Title
- Bcba
- Phone
- (630) 631-9623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
124 Kraml Dr
Burr Ridge, IL 60527-0303
Mailing address
124 Kraml Dr
Burr Ridge, IL 60527-0303
Phone (630) 631-9623
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723420800000",
"number": "1063243095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 KRAML DR",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270303",
"telephone_number": "630-631-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 KRAML DR",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270303",
"telephone_number": "630-631-9623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A",
"authorized_official_last_name": "KASSAR",
"authorized_official_first_name": "SHADEN",
"authorized_official_title_or_position": "BCBA",
"authorized_official_telephone_number": "630-631-9623",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.