Organization Active NPI

Behavior Change Solutions, LLC

  • Behavior Analyst
  • Chicago, IL
National Provider Identifier
1487088373
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIOR CHANGE SOLUTIONS, LLC
Practice address
2117 W Berwyn Ave
1S
Chicago, IL 60625-1142
Phone
(815) 690-1400
Fax
(773) 961-7888
NPI assigned
Aug 27, 2013
Last updated
Aug 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Jamin Gahm
Title
Owner
Phone
(815) 690-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2117 W Berwyn Ave
1S
Chicago, IL 60625-1142

Mailing address

2117 W Berwyn Ave
1S
Chicago, IL 60625-1142
Phone (815) 690-1400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1487088373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 W BERWYN AVE",
            "address_2": "1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251142",
            "telephone_number": "815-690-1400",
            "fax_number": "773-961-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 W BERWYN AVE",
            "address_2": "1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251142",
            "telephone_number": "815-690-1400",
            "fax_number": "773-961-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR CHANGE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "GAHM",
        "authorized_official_first_name": "JAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-690-1400"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "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 Aug 27, 2013; 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.