Dynamic Pediatric Therapies

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

DYNAMIC PEDIATRIC THERAPIES

Practice address

1221 N la Salle Dr Unit 2F
Chicago, IL 60610-2945

Phone

(609) 502-8026

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Bridget BiancoNPI 1205469848

Title

Owner/ Behavioral Analyst

Phone

(609) 502-8026

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bridget Bianco

  • Behavior Analyst
  • Chicago, IL
  • NPI 1205469848
  NPD Authorized official

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1265066617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N LA SALLE DR UNIT 2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N LA SALLE DR UNIT 2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102945",
            "telephone_number": "609-502-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PEDIATRIC THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "BIANCO",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "OWNER/ BEHAVIORAL ANALYST",
        "authorized_official_telephone_number": "609-502-8026"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbianco@dynamicpesiatrictherapies.com",
            "affiliation": "N",
            "address_1": "1221 N La Salle Dr Unit 2F",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606102945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.