Amal Soloman

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-76163 Issued in IL

Practice address

19056 Henry Dr
Mokena, IL 60448-9302

Phone

(888) 476-8485

NPI assigned

Dec 3, 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

Other names 1

• Amal Soloman Professional name

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": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1346066511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19056 HENRY DR",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489302",
            "telephone_number": "888-476-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19056 HENRY DR",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489302",
            "telephone_number": "888-476-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMAN",
        "first_name": "AMAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-24-76163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMAL",
            "last_name": "SOLOMAN",
            "credential": "M.A., BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.