Active NPI
Isis Proctor
- Behavior Technician
- Oak Park, IL
National Provider Identifier
1144935156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6930 Roosevelt Rd
Oak Park, IL 60304-1845 - Phone
- (708) 358-3000
- NPI assigned
- Jan 16, 2023
- Last updated
- Jan 16, 2023
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
6930 Roosevelt Rd
Oak Park, IL 60304-1845
Mailing address
5850 Granite Pkwy Ste 600
Plano, TX 75024-6753
Other practice location 1
6930 Roosevelt Rd
Oak Park, IL 60304-1845
Phone (708) 358-3000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | isisproctor@centerforautism.com | Direct |
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": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1144935156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 GRANITE PKWY STE 600",
"city": "PLANO",
"state": "TX",
"postal_code": "750246753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6930 ROOSEVELT RD",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603041845",
"telephone_number": "708-358-3000"
}
],
"practiceLocations": [
{
"address_1": "6930 Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603041845",
"country_code": "US",
"telephone_number": "708-358-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROCTOR",
"first_name": "ISIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-16",
"last_updated": "2023-01-16",
"certification_date": "2023-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "isisproctor@centerforautism.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6930 Roosevelt Rd",
"city": "Oak Park",
"state": "IL",
"country_code": "US",
"postal_code": "603041845",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oak Park, IL
- Michael Price
- Priebe Psychological & Wellness
- Brock Prizel, DPT
- Pro Dental Il - Chad Wise PC (Destiny Dental of Oak Park)
- Procare Medical Center of Oak Park S.C.
- Professional Anesthesia, S.C.
- Rachel H Prokopf, DNP, APRN, AGNP-C
- Prosper Psychological Services LLC
- Proviso Family Services (Resurrection Behavioral Health)
- Kierra G Pruitt, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.