Active NPI
Caitlin Carroll, BCBA
- Behavior Analyst
- Mokena, IL
National Provider Identifier
1134577109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-19003
- Practice address
- 19056 Henry Dr
Mokena, IL 60448-9302 - Phone
- (708) 995-5751
- NPI assigned
- May 31, 2016
- Last updated
- May 31, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-15-19003 | Primary |
Addresses
Primary practice location
19056 Henry Dr
Mokena, IL 60448-9302
Mailing address
19056 Henry Dr
Mokena, IL 60448-9302
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 |
|---|---|---|---|
| Creative Edge Consulting | Behavior Analyst | Current | Accepting new patients |
| Heartlinks ABA in LLC | Behavior Analyst | Past | Accepting new patients |
| Triangle ABA LLC | Behavior Analyst | Past | Accepting new patients |
| Center for Behavior Intervention, Inc | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Orland Park, IL
- NPI 1992544886
-
dba Cultivate Behavioral Health and Education
- Behavior Analyst
- Mokena, IL
- NPI 1972873768
-
- Behavior Analyst
- Indianapolis, IN
- NPI 1225796352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1134577109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19056 HENRY DR",
"city": "MOKENA",
"state": "IL",
"postal_code": "604489302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19056 HENRY DR",
"city": "MOKENA",
"state": "IL",
"postal_code": "604489302",
"telephone_number": "708-995-5751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "CAITLIN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-15-19003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mokena, IL
- Care Consulting
- Lea Andra Carey, SLP
- Coleen Ann Carney, APN/CNP
- Suzanne Reid Carrarini, OTR
- Pamela Leigh Carrico, M.A., CCC-SLP
- Melissa Cartolano, NP-C
- Center for Behavior Intervention
- Center for Behavior Intervention, Inc (Cultivate Behavioral Health and Education)
- Central Rehab Inc.
- Danielle Chapa, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.