NPIMap

Organization Active NPI

Behavely, LLC

  • Behavior Analyst
  • Homewood, IL
National Provider Identifier
1174210272
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVELY, LLC
Practice address
18220 Harwood Ave Ste 3
Homewood, IL 60430-2151
Phone
(708) 979-2993
NPI assigned
Apr 19, 2023
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Alyanna Mae Moraga, BCBANPI 1518578459
Title
Ceo
Phone
(708) 979-2993

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Behavior Analyst 103K00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

18220 Harwood Ave Ste 3
Homewood, IL 60430-2151

Mailing address

22159 E Churchill Dr
Richton Park, IL 60471-1152
Phone (708) 979-2993

National Provider Directory

National Provider Directory

Locations

1130 S Canal St
#1823
Chicago, IL 60607

18220 Harwood Ave
Ste 3
Homewood, IL 60430
Phone (464) 216-4116

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1174210272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22159 E CHURCHILL DR",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711152",
            "telephone_number": "708-979-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18220 HARWOOD AVE STE 3",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302151",
            "telephone_number": "708-979-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVELY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "MORAGA",
        "authorized_official_first_name": "ALYANNA MAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-979-2993",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.