Active NPI
Sandra Nicole Blondin, BCBA
- Behavior Analyst
- Lincolnshire, IL
National Provider Identifier
1326658964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-43557
- Practice address
- 111 Barclay Blvd Ste 100
Lincolnshire, IL 60069-3610 - Phone
- (630) 476-2149
- NPI assigned
- Aug 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 1-20-43557 | IL | Primary |
Addresses
Primary practice location
111 Barclay Blvd Ste 100
Lincolnshire, IL 60069-3610
Mailing address
111 Barclay Blvd Ste 100
Lincolnshire, IL 60069-3610
Phone (847) 295-4030
Other practice location 1
120 W Eastman St Ste 102
Arlington Heights, IL 60004-5948
Phone (847) 873-1505
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | sandy@jmkbehavior.org | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1326658964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BARCLAY BLVD STE 100",
"city": "LINCOLNSHIRE",
"state": "IL",
"postal_code": "600693610",
"telephone_number": "847-295-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BARCLAY BLVD STE 100",
"city": "LINCOLNSHIRE",
"state": "IL",
"postal_code": "600693610",
"telephone_number": "630-476-2149"
}
],
"practiceLocations": [
{
"address_1": "120 W Eastman St Ste 102",
"address_purpose": "LOCATION",
"city": "Arlington Heights",
"state": "IL",
"postal_code": "600045948",
"country_code": "US",
"telephone_number": "847-873-1505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLONDIN",
"first_name": "SANDRA",
"middle_name": "NICOLE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-07",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-20-43557",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "sandy@jmkbehavior.org",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "120 W Eastman St Ste 102",
"city": "Arlington Heights",
"state": "IL",
"country_code": "US",
"postal_code": "600045948",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lincolnshire, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.