Active NPI
Peter Alfano
- Behavior Analyst
- Bourbonnais, IL
National Provider Identifier
1154861490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 650 N Convent St
Bourbonnais, IL 60914-1320 - Phone
- (815) 523-7268
- NPI assigned
- Mar 6, 2017
- Sex
- Male
- 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 | IL | Primary |
Addresses
Primary practice location
650 N Convent St
Bourbonnais, IL 60914-1320
Mailing address
14121 Green Valley Dr
Orland Park, IL 60467-7493
Phone (708) 691-1589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7141157 | Medicaid | IL |
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 |
|---|---|---|---|
| Elevated Therapeutics, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
650 N Convent St
Bourbonnais, IL 60914
Phone (708) 691-1589
Organizations & group practices 1
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
- Bourbonnais, IL
- NPI 1124751284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1154861490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14121 GREEN VALLEY DR",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604677493",
"telephone_number": "708-691-1589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 N CONVENT ST",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609141320",
"telephone_number": "815-523-7268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFANO",
"first_name": "PETER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-06",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7141157",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bourbonnais, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.