Inclusive Club for Neurodiversity

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

INCLUSIVE CLUB FOR NEURODIVERSITY

Practice address

1550 N Lake Shore Dr Apt 16D
Chicago, IL 60610-6600

Phone

(847) 323-7275

NPI assigned

Aug 30, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Avery Schatz, BCBANPI 1043910672

Title

Bcba

Phone

(847) 323-7275

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Avery Schatz

  • Behavior Analyst
  • Westchester, IL
  • NPI 1043910672
  NPD Authorized official

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1386478436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N LAKE SHORE DR APT 16D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606106600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N LAKE SHORE DR APT 16D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606106600",
            "telephone_number": "847-323-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLUSIVE CLUB FOR NEURODIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "SCHATZ",
        "authorized_official_first_name": "AVERY",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "847-323-7275",
        "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": []
}

• Inara Hospice Inc
• Gabrielle Inawat, PA-C
• Inbloom Therapy PLLC
• Okan Ince, MD
• Inchworms Pediatric Therapy, LLC
• Inclusive Insight Psychotherapy & Consulting
• Inclusive Speech & Language Services LLC
• Inclusive Therapies
• Inclusive Wellness, LTD.
• Inclusivity Counseling, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.