Active NPI
Allyson Martin
- Behavior Technician
- Itasca, IL
National Provider Identifier
1477049054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 901 W Hawthorn Dr
Itasca, IL 60143-2056 - Phone
- (800) 844-1232
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
901 W Hawthorn Dr
Itasca, IL 60143-2056
Mailing address
1206 Pinetree LN
Bartlett, IL 60103-5829
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Autism & Behavior Specialists | Past | Accepting new patients | |
| Chicago Autism and Behavior Specialists | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Itasca, IL
- NPI 1982077194
-
- Behavior Analyst
- Itasca, IL
- NPI 1295021269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530835200000",
"number": "1477049054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 PINETREE LN",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601035829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W HAWTHORN DR",
"city": "ITASCA",
"state": "IL",
"postal_code": "601432056",
"telephone_number": "800-844-1232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ALLYSON",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-06",
"last_updated": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Itasca, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.