Dana Pavlik, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11519395 Issued in IL

Practice address

3100 S Central Ave
Cicero, IL 60804-3956

Phone

(708) 863-3803

NPI assigned

Apr 9, 2012

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Dana Pavlik LCSW, Bcba LLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1184204398

  Behavior Analyst

  NPD Authorized official

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1487910998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 W SURF ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576128",
            "telephone_number": "773-852-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S CENTRAL AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608043956",
            "telephone_number": "708-863-3803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 W Surf St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606576128",
            "country_code": "US",
            "telephone_number": "773-852-5894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVLIK",
        "first_name": "DANA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2021-05-17",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021478",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "11519395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisol A. Osuch, M.A
• Laurie Marie Parker
• Harvi Subhash Patel, DDS
• Purvish Patel, PHARMD
• Danielle Antoinette Patterson
• Brian Ramon Peete, M.S.
• Jasmine Pelayo
• Eric Perales, PHARMD
• Hugo Gerardo Perales, M.S.W.
• Alexis Rosalba Perez

• Behavior Analyst in Cicero, IL
• Providers in Cicero, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.