Individual provider Active NPI

Elizabeth Garcia

  • Behavior Analyst
  • North Riverside, IL
National Provider Identifier
1124500640
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
7222 W Cermak Rd Ste 500
North Riverside, IL 60546-1443
Phone
(773) 747-0626
Fax
(708) 853-9737
NPI assigned
Aug 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X IL Primary

Addresses

Primary practice location

7222 W Cermak Rd Ste 500
North Riverside, IL 60546-1443

Mailing address

4908 W 24TH PL
Cicero, IL 60804-3420

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth@owllighttherapy.com

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
Owllight Therapy Inc Behavior Analyst CurrentSince May 1, 2022 Accepting new patients
Eyas Landing, Inc. Past Accepting new patients

Locations

7222 W Cermak Rd
Ste 500
Riverside, IL 60546
Phone (708) 442-0023

Organizations & group practices 2

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1124500640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4908 W 24TH PL",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608043420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7222 W CERMAK RD STE 500",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461443",
            "telephone_number": "773-747-0626",
            "fax_number": "708-853-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth@owllighttherapy.com",
            "affiliation": "N",
            "address_1": "3617 Dora St, Franklin Park",
            "city": "Franklin Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Riverside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.