Elizabeth J Joseph, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-08-4799 Issued in IL

Practice address

9649 W 55TH St
Countryside, IL 60525-3632

Phone

(708) 352-3580

Fax

(708) 352-9728

NPI assigned

Jan 7, 2009

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1326285792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 HOWARD ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772809",
            "telephone_number": "815-354-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9649 W 55TH ST",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253632",
            "telephone_number": "708-352-3580",
            "fax_number": "708-352-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-08-4799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Bernice Johnson, R.N.
• Margaret Mary Johnson
• Shannon Johnson
• Tyanna Johnson
• Amelia Joseph
• Snjezana Jovanovic, PHARM.D.
• Kerri E Kabela, PT
• Janet Elaine Kanis, RN
• Athanasia Katsigiannis, LPC
• Christina Kelly

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.