Active NPI
Anneliese Nicole Legge, BCBA
- Behavior Analyst
- Chicago, IL
National Provider Identifier
1407510639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-53962
- Practice address
- 1422 W Willow St Ste 102
Chicago, IL 60642-8977 - Phone
- (773) 630-4400
- NPI assigned
- Oct 25, 2021
- 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 | 1-21-53962 | IL | Primary |
Addresses
Primary practice location
1422 W Willow St Ste 102
Chicago, IL 60642-8977
Mailing address
1422 W Willow St Ste 102
Chicago, IL 60642-8977
Phone (773) 630-4400
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1407510639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 W WILLOW ST STE 102",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606428977",
"telephone_number": "773-630-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1422 W WILLOW ST STE 102",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606428977",
"telephone_number": "773-630-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGGE",
"first_name": "ANNELIESE",
"middle_name": "NICOLE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-25",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-21-53962",
"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 25, 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.