Active NPI
Marco Calixto
- Behavior Technician
- Oak Lawn, IL
National Provider Identifier
1417889148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4615 W 103Rd St
Oak Lawn, IL 60453-4718 - Phone
- (708) 262-1652
- NPI assigned
- May 29, 2026
- Sex
- Male
- 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 Technician | 106S00000X | IL | Primary |
Addresses
Primary practice location
4615 W 103Rd St
Oak Lawn, IL 60453-4718
Mailing address
3916 W 123Rd St
Alsip, IL 60803-1450
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": "1780012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1417889148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3916 W 123RD ST",
"city": "ALSIP",
"state": "IL",
"postal_code": "608031450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4615 W 103RD ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604534718",
"telephone_number": "708-262-1652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALIXTO",
"first_name": "MARCO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-29",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.