Active NPI
Elizabeth Garcia
- Behavior Analyst
- North Riverside, IL
National Provider Identifier
1124500640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owllight Therapy Inc | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- North Riverside, IL
- NPI 1023775467
-
- Early Intervention Provider Agency
- Chicago, IL
- NPI 1053621391
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.