Individual provider Active NPI

Myra J Bertling, BEHAVIOR ANALYST

  • Behavior Analyst
  • Bolingbrook, IL
National Provider Identifier
1518096064
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-23471 Issued in IL
Practice address
1112 W Boughton Rd # 156
Bolingbrook, IL 60440-1508
Phone
(630) 217-1292
Fax
(630) 759-4228
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-16-23471 IL Primary

Addresses

Primary practice location

1112 W Boughton Rd # 156
Bolingbrook, IL 60440-1508

Mailing address

712 McCarthy Rd
Lemont, IL 60439-4043
Phone (630) 217-1292

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

OrganizationSpecialtyStatusNew patients
Bertling ABA, Inc Behavior Analyst CurrentSince Sep 1, 2019 Accepting new patients

Locations

1112 W Boughton Rd
Bolingbrook, IL 60440
Phone (312) 561-4292

15419 E 127th St
Ste 300
Lemont, IL 60439

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1518096064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 MCCARTHY RD",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394043",
            "telephone_number": "630-217-1292",
            "fax_number": "630-759-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W BOUGHTON RD # 156",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401508",
            "telephone_number": "630-217-1292",
            "fax_number": "630-759-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTLING",
        "first_name": "MYRA",
        "middle_name": "J",
        "credential": "BEHAVIOR ANALYST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-16-23471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.