Felicia David

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-70034 Issued in IL

Practice address

14421 S Wallin Dr
Plainfield, IL 60544-2502

Phone

(815) 267-6354

NPI assigned

Mar 24, 2021

Last updated

Aug 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Momentum Behavior Services LLC

  • Behavior Analyst
  • Lansing, IL
  • NPI 1780222901
  NPD

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1477130714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 SHEFFIELD DR APT 304",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917907",
            "telephone_number": "708-224-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14421 S WALLIN DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442502",
            "telephone_number": "815-267-6354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1999 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "IL",
            "postal_code": "604382101",
            "country_code": "US",
            "telephone_number": "708-227-0793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "FELICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-16-24138",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-23-70034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Kraus LCPC PLLC
• Darlene G. Stevens Counseling Services Inc.
• Evan Darnell
• David F. Vik, M.D.,S.C.
• Ethan David, PT, DPT
• Nicole Davidson, LCPC
• Imani Davis
• Jayla A Davis
• Phamela B. De Guzman, MD
• Suzanne De Los Monteros, RBT-18-55582

• Behavior Analyst in Plainfield, IL
• Providers in Plainfield, 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 28, 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.