Canvas Behavior Consulting, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CANVAS BEHAVIOR CONSULTING, LLC

Practice address

1293 Donegal CT
Carol Stream, IL 60188-4824

Phone

(847) 452-8264

NPI assigned

Nov 24, 2021

Organization subpart

No

Name

Kayla Perry, BCBA

Title

Owner and Founder

Phone

(847) 452-8264

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 24, 2021.

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1386301356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 DONEGAL CT",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601884824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 DONEGAL CT",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601884824",
            "telephone_number": "847-452-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANVAS BEHAVIOR CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER AND FOUNDER",
        "authorized_official_telephone_number": "847-452-8264",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.