Khizran Mariam Bakhshi, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1312 Snowberry LN
West Chicago, IL 60185-5965

Phone

(773) 786-9325

NPI assigned

Oct 9, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1467927103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 SNOWBERRY LN",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601855965",
            "telephone_number": "773-786-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 SNOWBERRY LN",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601855965",
            "telephone_number": "773-786-9325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Redwood Dr",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605063383",
            "country_code": "US",
            "telephone_number": "630-401-8315 x3361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKHSHI",
        "first_name": "KHIZRAN",
        "middle_name": "MARIAM",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associaiton for Individual Development
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• Guadalupe Avila, M.S. CCC-SLP
• Giusy Baker
• Morgan Ann Banasiak, M.S.ED.
• Rahima Bashiri, DDS
• Michael Leonard Bauer, D.C.
• Carolyn Beale
• Julie Bechtold, LPC

• Behavior Analyst in West Chicago, IL
• Providers in West 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 Jan 8, 2019; 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.