Bianca G Stavrakakes, RBT

Primary specialty

TechnicianTaxonomy code 374700000X

Practice address

4954 W 95TH St
Oak Lawn, IL 60453-2504

Phone

(855) 528-8476

NPI assigned

Jan 2, 2024

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

Practice roles

Locations

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.

• Autism Behavior Therapy

  • Behavior Analyst
  • Oak Lawn, IL
  • NPI 1144906223
  NPD
• Autism Behavior Therapy

  dba The Autism Clinic

  • Behavior Analyst
  • Burr Ridge, IL
  • NPI 1649711573
  NPD (past)

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1295505261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532504",
            "telephone_number": "855-528-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532504",
            "telephone_number": "855-528-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVRAKAKES",
        "first_name": "BIANCA",
        "middle_name": "G",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Jean Starkey
• Anita B. Staron, PHARM.D.
• Ezekielus Starr III
• Jessica Staszel, FNP-BC
• Ronald Stavinga, MD
• Rosanne M Steagerman, APN
• Lynda K Stearn-Elam, COTA/L
• Matthew Kyle Steinbrenner, PHARMD
• Gary A Steinecker, MD
• Stephen J Sokalski DO LTD

• Technician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.