Active NPI
Kelsey Kharrazi, BCBA
- Behavior Analyst
- Chicago, IL
National Provider Identifier
1386009223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-32407
- Practice address
- 6414 W North Ave
Chicago, IL 60707 - Phone
- (312) 554-5578
- Fax
- (877) 372-2427
- NPI assigned
- Dec 18, 2015
- 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 Analyst | 103K00000X | 1-18-32407 | IL | Primary |
Addresses
Primary practice location
6414 W North Ave
Chicago, IL 60707
Mailing address
12040 98TH Ave NE
Ste 204
Kirkland, WA 98034-4290
Phone (425) 658-3016
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stride Autism Centers, P.C. | Behavior Analyst | Past | Accepting new patients |
| Cbpi, LLC | Behavior Analyst | Past | Accepting new patients |
| Able Pediatric Health | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Tukwila, WA
- NPI 1245728534
-
- Behavior Analyst
- Kirkland, WA
- NPI 1215347752
-
- Behavior Analyst
- Des Moines, IA
- NPI 1023630340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1386009223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12040 98TH AVE NE",
"address_2": "STE 204",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980344290",
"telephone_number": "425-658-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6414 W NORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60707",
"telephone_number": "312-554-5578",
"fax_number": "877-372-2427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHARRAZI",
"first_name": "KELSEY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-18",
"last_updated": "2024-10-03",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-18-32407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.