Active NPI
Carrie Skalla
- Behavior Analyst
- Evanston, IL
National Provider Identifier
1124406624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-19720
- Practice address
- 820 Davis St
Suite 455
Evanston, IL 60201-4431 - Phone
- (708) 288-7547
- NPI assigned
- May 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-15-19720 | IL | Primary |
Addresses
Primary practice location
820 Davis St
Suite 455
Evanston, IL 60201-4431
Mailing address
820 Davis St
Suite 455
Evanston, IL 60201-4431
Other practice location 1
277 E Amador Ave Ste 101
Las Cruces, NM 88001-3675
Phone (575) 221-1310
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespeed, LLC | Behavior Analyst | Past | 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.
-
- Behavior Analyst
- Evanston, IL
- NPI 1851783013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1124406624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 DAVIS ST",
"address_2": "SUITE 455",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 DAVIS ST",
"address_2": "SUITE 455",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014431",
"telephone_number": "708-288-7547"
}
],
"practiceLocations": [
{
"address_1": "277 E Amador Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880013675",
"country_code": "US",
"telephone_number": "575-221-1310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKALLA",
"first_name": "CARRIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-15",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-15-19720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.