Chelsea Skinner, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-12699 Issued in IL

Practice address

1501 Dogwood Dr
Woodridge, IL 60517-4649

Phone

(269) 377-9796

NPI assigned

Nov 28, 2012

Last updated

Aug 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• ABA of Illinois, LLC

  • Behavior Analyst
  • Downers Grove, IL
  • NPI 1043551922
  NPD (past)
• ABA of Wisconsin, LLC

  • Community/Behavioral Health Agency
  • Woodridge, IL
  • NPI 1104209923
  NPD (past)

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1255676532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 N LARRABEE ST APT 6301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144422",
            "telephone_number": "269-377-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 DOGWOOD DR",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605174649",
            "telephone_number": "269-377-9796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Woodglen Ln",
            "address_2": "Unit 201",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605164551",
            "country_code": "US",
            "telephone_number": "269-377-9796",
            "fax_number": "630-395-9198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "CHELSEA",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-12-12699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-12--12699",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Melei Sifuentes, OTD
• Dawn Louise Siil, R.PH.
• Sina Drug LLC (Onco360)
• Sina Drug LLC (Onco360)
• Kasey Diana Sisco
• Megan Slavick
• Sleep Matters, LTD.
• Smart Mouth Dental P.C.
• Brittany M Smith
• David C Smith, D.C.

• Behavior Analyst in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.