Active NPI
Aneta Slaba, BCBA
- Behavior Analyst
- Crystal Lake, IL
National Provider Identifier
1174199129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-72775
- Practice address
- 1095 Pingree Rd Ste 209
Crystal Lake, IL 60014-1727 - Phone
- (847) 458-8890
- NPI assigned
- Jun 1, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 152000474 | IL | |
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-24-72775 | Primary |
Addresses
Primary practice location
1095 Pingree Rd Ste 209
Crystal Lake, IL 60014-1727
Mailing address
1095 Pingree Rd Ste 209
Crystal Lake, IL 60014-1727
Phone (847) 458-8890
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.rushpt.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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152000474 | IL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Breeze Physical Therapy Inc. | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Pensacola, FL
- NPI 1730183153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1174199129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1095 PINGREE RD STE 209",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600141727",
"telephone_number": "847-458-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 PINGREE RD STE 209",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600141727",
"telephone_number": "847-458-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLABA",
"first_name": "ANETA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "152000474",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-24-72775",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.rushpt.com",
"affiliation": "N",
"address_1": "1095 Pingree Rd Ste 209",
"city": "Crystal Lake",
"state": "IL",
"country_code": "US",
"postal_code": "600141727",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.