Cassidy Marie Knobloch, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-34032 Issued in NU

Practice address

1315 Macom Dr Ste 103
Naperville, IL 60564-9360

Phone

(630) 585-7337

NPI assigned

Jan 29, 2019

Last updated

May 12, 2022By the provider in NPPES

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 identifiers 1

Other names 1

• Cassidy Marie Waters Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• ABA Health Partners, LLC

  • Behavior Analyst
  • Bolingbrook, IL
  • NPI 1053290700
  NPD Authorized official

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1346704798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 MACOM DR STE 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649360",
            "telephone_number": "630-585-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 MACOM DR STE 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649360",
            "telephone_number": "630-585-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBLOCH",
        "first_name": "CASSIDY",
        "middle_name": "MARIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-18-34032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-18-34032",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIDY",
            "last_name": "WATERS",
            "middle_name": "MARIE",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natasha Knezevic, PSY.D.
• Joshua Knicker
• Curtis Adam Knight, P.T.
• Deborah Knight, LCPC
• Kevin G Knipp, LMFT
• Alan E Knotek, O.D.
• Michaele Ann Knous, LCPC
• Harry Knudson
• Krzysztof Koc
• Abby Koch, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.