Active NPI
Joshua Zuniga, BCBA
- Behavior Analyst
- Glen Ellyn, IL
National Provider Identifier
1124651039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 910 Roosevelt Rd
Glen Ellyn, IL 60137-7829 - Phone
- (630) 580-0853
- NPI assigned
- Feb 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
910 Roosevelt Rd
Glen Ellyn, IL 60137-7829
Mailing address
910 Roosevelt Rd
Glen Ellyn, IL 60137-7829
Phone (630) 580-0853
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BCBA | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | JSHZNG@gmail.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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1124651039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 ROOSEVELT RD",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601377829",
"telephone_number": "630-580-0853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 ROOSEVELT RD",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601377829",
"telephone_number": "630-580-0853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUNIGA",
"first_name": "JOSHUA",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-19",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "BCBA",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "JSHZNG@gmail.com",
"affiliation": "N",
"address_1": "910 Roosevelt Rd",
"city": "Glen Ellyn",
"state": "IL",
"country_code": "US",
"postal_code": "601377829",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.