Scott Herbst, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-33492

Practice address

1161 Lake Cook Rd
Deerfield, IL 60015-5649

Phone

(847) 498-5437

NPI assigned

Apr 22, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• KGH Consultation & Treatment, Inc.

  dba KGH Autism Services

  • Behavior Analyst
  • Deerfield, IL
  • NPI 1073840740
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1083277495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 W OAKDALE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606415415",
            "telephone_number": "775-560-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 LAKE COOK RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155649",
            "telephone_number": "847-498-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 W Oakdale Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606415415",
            "country_code": "US",
            "telephone_number": "775-560-7187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERBST",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-18-33492",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-33492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sixflextraining.com",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4101 W Oakdale Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606415415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Healing Arts of Oriental Medicine
• Heart Light Psychological Services
• Timothy Hederman
• Casie Henrikson, RBT
• Constantine C Heotis, RPH
• Leslie F Herman, MD
• Benjamin Hernacki-Hager
• Crystal Hernandez, RBT
• Guadalupe Noria Hernandez
• Constance Joan Herron, BSN, MPH

• Behavior Analyst in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.