Individual provider Active NPI

Cristy M Calderon, BCBA

  • Behavior Analyst
  • Lemont, IL
National Provider Identifier
1093017394
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-30503 Issued in IL
Practice address
13664 Anne Dr
Lemont, IL 60439
Phone
(312) 237-0262
Fax
(331) 318-8415
NPI assigned
Nov 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-18-30503 IL Primary

Addresses

Primary practice location

13664 Anne Dr
Lemont, IL 60439

Mailing address

13664 Anne Dr
Lemont, IL 60439-8724
Phone (312) 420-2093

Other identifiers 1

IdentifierTypeStateIssuer
1-18-30503OtherILBEHAVIOR ANALYST CERTIFICATION BOARD

Other names 1

  • Mrs. Cristy M Calderon Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Behavior & Childhood Service, Inc. Behavior Analyst Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1093017394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13664 ANNE DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604398724",
            "telephone_number": "312-420-2093",
            "fax_number": "331-318-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13664 ANNE DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "60439",
            "telephone_number": "312-237-0262",
            "fax_number": "331-318-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "CRISTY",
        "middle_name": "M",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-19",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-18-30503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-18-30503",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTY",
            "last_name": "CALDERON",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "PSY., BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lemont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.