Organization Active NPI

Consult Autism Inc

  • Behavior Analyst
  • Lake in the Hills, IL
National Provider Identifier
1518280577
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CONSULT AUTISM INC
Practice address
2 Newbury CT
Lake in the Hills, IL 60156-6817
Phone
(847) 414-1744
Fax
(847) 515-8292
NPI assigned
Mar 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Mrs. Tracy Kilvinger
Title
President/Consultant
Phone
(847) 414-1744

Specialties & licenses 1

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

Addresses

Primary practice location

2 Newbury CT
Lake in the Hills, IL 60156-6817

Mailing address

2 Newbury CT
Lake in the Hills, IL 60156-6817
Phone (847) 414-1744

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1518280577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NEWBURY CT",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566817",
            "telephone_number": "847-414-1744",
            "fax_number": "847-515-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 NEWBURY CT",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566817",
            "telephone_number": "847-414-1744",
            "fax_number": "847-515-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULT AUTISM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "KILVINGER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT/CONSULTANT",
        "authorized_official_telephone_number": "847-414-1744",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.