NPIMap

Organization Active NPI

Tag ABA LLC

  • Behavior Analyst
  • Chicago, IL
National Provider Identifier
1316374937
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TAG ABA LLC
Practice address
5024 W Patterson Ave
2R
Chicago, IL 60641-3413
Phone
(810) 513-7178
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Katrina JonesNPI 1316185879
Title
Owner/Bcba
Phone
(810) 513-7178

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: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5024 W Patterson Ave
2R
Chicago, IL 60641-3413

Mailing address

5024 W Patterson Ave
2R
Chicago, IL 60641-3413
Phone (810) 513-7178

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1316374937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 W PATTERSON AVE",
            "address_2": "2R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413413",
            "telephone_number": "810-513-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 W PATTERSON AVE",
            "address_2": "2R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413413",
            "telephone_number": "810-513-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAG ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "810-513-7178"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.