NPIMap

Organization Active NPI

Autism Behavior Therapy

  • Behavior Analyst
  • Oak Lawn, IL
National Provider Identifier
1144906223
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM BEHAVIOR THERAPY
Practice address
4954 W 95TH St
Oak Lawn, IL 60453-2504
Phone
(855) 528-8476
NPI assigned
Jun 23, 2023
Organization subpart
Yes
Parent organization
AUTISM BEHAVIOR THERAPY - OAK LAWNAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Shaden KassarNPI 1548632383
Title
Bcba
Phone
(630) 631-9623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X
Behavior TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106S00000X
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

4954 W 95TH St
Oak Lawn, IL 60453-2504

Mailing address

44 W Roosevelt Rd
Lombard, IL 60148-4402
Phone (855) 528-8476

Other names 1

  • ABT-Oak Lawn Other name

National Provider Directory

National Provider Directory
Tax ID family
Autism Behavior Therapy4 organizations share this tax ID, including this one
Part of
Autism Behavior Therapy

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

44 W Roosevelt Rd
Lombard, IL 60148
Phone (630) 290-8500

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1144906223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W ROOSEVELT RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484402",
            "telephone_number": "855-528-8476",
            "fax_number": "630-687-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532504",
            "telephone_number": "855-528-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM BEHAVIOR THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUTISM BEHAVIOR THERAPY - OAK LAWN",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "KASSAR",
        "authorized_official_first_name": "SHADEN",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "630-631-9623"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABT-Oak Lawn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.