Mia G Falconi

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

778 W Frontage Rd Ste 101
Northfield, IL 60093-1209

Phone

(312) 780-0820

Fax

(877) 716-4799

NPI assigned

Sep 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Therapyworks Autism Services, PLLC

  • Behavior Analyst
  • Northfield, IL
  • NPI 1982476180
  NPD

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1548088552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 BRIARWOOD CT",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313461",
            "telephone_number": "847-721-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 W FRONTAGE RD STE 101",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931209",
            "telephone_number": "312-780-0820",
            "fax_number": "877-716-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCONI",
        "first_name": "MIA",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Beth Englund, OTR/L
• Erik Rosen LCSW, LLC
• Celine Espinoza, LCSW
• Exceptional Minds Psychology PLLC
• Henry Fajardo
• Family Service Center of Wilmette Glenview Northbrook Kenilworth
• Eileen Duffy Farmer, M.S., CCC-SLP
• Aron Hall Feinberg, DO
• Elizabeth F. Feldman, PH.D.
• Michelle Wirth Fellman

• All providers in Northfield, IL
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.