Active NPI
Jean R Richardson, BCBA
- Behavior Analyst
- Palatine, IL
National Provider Identifier
1245469725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 907 E Sayles Dr
Palatine, IL 60074-7145 - Phone
- (847) 202-7051
- Fax
- (847) 202-7051
- NPI assigned
- Jul 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
907 E Sayles Dr
Palatine, IL 60074-7145
Mailing address
907 E Sayles Dr
Palatine, IL 60074-7145
Phone (847) 202-7051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264621631 | Other | IN | TRICARE |
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 |
|---|---|---|---|
| RM Business Solutions Inc | Behavior Analyst | Past | Accepting new patients |
| Brighter Mind Therapy LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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
- Niles, IL
- NPI 1841037280
-
- Behavior Analyst
- Chicago, IL
- NPI 1033991450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246838400000",
"number": "1245469725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 E SAYLES DR",
"city": "PALATINE",
"state": "IL",
"postal_code": "600747145",
"telephone_number": "847-202-7051",
"fax_number": "847-202-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 E SAYLES DR",
"city": "PALATINE",
"state": "IL",
"postal_code": "600747145",
"telephone_number": "847-202-7051",
"fax_number": "847-202-7051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "JEAN",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-06",
"last_updated": "2009-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "264621631",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.