Trista Kotek, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-16162 Issued in IL

Practice address

85 Revere Dr
Northbrook, IL 60062-8001

Phone

(630) 209-1605

NPI assigned

Jun 26, 2014

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

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 and National Provider Directory roles.

• Bertling ABA, Inc

  • Behavior Analyst
  • Lemont, IL
  • NPI 1306495585
  NPD (past)

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1285049429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 FAIRWAY DR",
            "address_2": "202",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 REVERE DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628001",
            "telephone_number": "630-209-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTEK",
        "first_name": "TRISTA",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-14-16162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Nicholas Korompilas, D.D.S.
• Alana Korzonas, LSW
• Nicole Kosikowski
• Katelyn Kosinski
• Chaya Sarah Kost, LPC
• Farheen Kothawala, PA-C
• Matina Kourtis
• Danae Koutsogeorga
• Nicole Esther Kovalevsky, OTD
• Susan H Kovin, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.