Active NPI
Renee Wojcik, MA, BCBA
- Behavior Analyst
- Buffalo Grove, IL
National Provider Identifier
1063939783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-48300
- Practice address
- 733 Hastings Dr
Buffalo Grove, IL 60089-6906 - Phone
- (847) 207-5411
- NPI assigned
- Aug 23, 2017
- Last updated
- Mar 31, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Behavior Analyst | 103K00000X | 1-21-48300 | OH | Primary |
Addresses
Primary practice location
733 Hastings Dr
Buffalo Grove, IL 60089-6906
Mailing address
320 Ben Curtis Dr
Ostrander, OH 43061-7505
Phone (847) 207-5411
Other practice location 1
187 W Schrock Rd
Westerville, OH 43081-2890
Phone (614) 355-8055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1473276 | Medicaid | OH |
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1063939783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 BEN CURTIS DR",
"city": "OSTRANDER",
"state": "OH",
"postal_code": "430617505",
"telephone_number": "847-207-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 HASTINGS DR",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600896906",
"telephone_number": "847-207-5411"
}
],
"practiceLocations": [
{
"address_1": "187 W Schrock Rd",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430812890",
"country_code": "US",
"telephone_number": "614-355-8055",
"fax_number": "614-355-8056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOJCIK",
"first_name": "RENEE",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "1-21-48300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1473276",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.