Active NPI
Fatima Sohail Malik
- Behavior Technician
- Aurora, IL
National Provider Identifier
1346087616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-358524
- Practice address
- 4050 Healthway Dr Ste 110
Aurora, IL 60504-8184 - Phone
- (630) 984-0540
- NPI assigned
- Jul 12, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-358524 | IL | Primary |
Addresses
Primary practice location
4050 Healthway Dr Ste 110
Aurora, IL 60504-8184
Mailing address
8414 Harding Ave
Skokie, IL 60076-2715
Phone (847) 857-6767
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-358524 | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1346087616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8414 HARDING AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600762715",
"telephone_number": "847-857-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 HEALTHWAY DR STE 110",
"city": "AURORA",
"state": "IL",
"postal_code": "605048184",
"telephone_number": "630-984-0540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "FATIMA",
"middle_name": "SOHAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-12",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-24-358524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.