Active NPI
Richard Wawrzonkowski, MS, BCBA, LBA
- Behavior Analyst
- Westchester, IL
National Provider Identifier
1487150702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 152002628
- Practice address
- 2255 Enterprise Dr Ste 5501
Westchester, IL 60154-5808 - Phone
- (708) 965-4123
- NPI assigned
- Apr 4, 2018
- 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 Analyst | 103K00000X | 152002628 | IL | Primary |
Addresses
Primary practice location
2255 Enterprise Dr Ste 5501
Westchester, IL 60154-5808
Mailing address
937 Northway CT
Hanover Park, IL 60133-2648
Phone (224) 830-0515
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152002628 | IL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nexus Solutions for Autism, LLC. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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
- Geneva, IL
- NPI 1881241859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1487150702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "937 NORTHWAY CT",
"city": "HANOVER PARK",
"state": "IL",
"postal_code": "601332648",
"telephone_number": "224-830-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 ENTERPRISE DR STE 5501",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545808",
"telephone_number": "708-965-4123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAWRZONKOWSKI",
"first_name": "RICHARD",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-04",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "152002628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westchester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.