NPIMap

Organization Active NPI

Chicago Autism and Behavior Specialists

  • Behavior Analyst
  • Itasca, IL
National Provider Identifier
1295021269
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-07-3892 Issued in IL
Legal business name
CHICAGO AUTISM AND BEHAVIOR SPECIALISTS
Practice address
901 W Hawthorn Drive
Itasca, IL 60143
Phone
(800) 844-1232
Fax
(800) 844-1232
NPI assigned
Jun 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Miss Amanda Parker, BCBANPI 1831348028
Title
Owner/Bcba
Phone
(808) 441-2328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-07-3892 IL Primary

Addresses

Primary practice location

901 W Hawthorn Drive
Itasca, IL 60143

Mailing address

901 W Hawthorn Drive
Itasca, IL 60143
Phone (800) 844-1232

National Provider Directory

National Provider Directory
Tax ID family
Chicago Autism and Behavior Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

30 Park of Commerce Way
#100
Savannah, GA 31405

Practitioners & affiliated clinicians

Practitioners 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1295021269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W HAWTHORN DRIVE",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "60143",
            "telephone_number": "800-844-1232",
            "fax_number": "800-844-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W HAWTHORN DRIVE",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "60143",
            "telephone_number": "800-844-1232",
            "fax_number": "800-844-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO AUTISM AND BEHAVIOR SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "808-441-2328",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-07-3892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Itasca, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.