Individual provider Active NPI

Jessica Arriaga, BCBA

  • Behavior Analyst
  • Mundelein, IL
National Provider Identifier
1285136127
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-28827 Issued in IL
Practice address
410 W Courtland St
Mundelein, IL 60060-2104
Phone
(815) 830-8738
Fax
(847) 498-5438
NPI assigned
Mar 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-28827 IL Primary

Addresses

Primary practice location

410 W Courtland St
Mundelein, IL 60060-2104

Mailing address

410 W Courtland St
Mundelein, IL 60060-2104
Phone (815) 830-8738

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

OrganizationSpecialtyStatusNew patients
Reinforcing Behavior, LLC Behavior Analyst CurrentSince Mar 12, 2024 Accepting new patients
KGH Consultation & Treatment, Inc. Behavior Analyst PastSince Mar 13, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1285136127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W COURTLAND ST",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602104",
            "telephone_number": "815-830-8738",
            "fax_number": "847-498-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W COURTLAND ST",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602104",
            "telephone_number": "815-830-8738",
            "fax_number": "847-498-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRIAGA",
        "first_name": "JESSICA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-17-28827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mundelein, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.