Lauren Ann Spakausky, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-123699 Issued in IL

Practice address

14711 S Ravinia Ave
Orland Park, IL 60462-3100

Phone

(708) 787-0952

NPI assigned

Oct 24, 2019

Last updated

Apr 8, 2022By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1558904342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REVERE DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621566",
            "telephone_number": "984-384-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14711 S RAVINIA AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623100",
            "telephone_number": "708-787-0952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Revere Dr",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600621566",
            "country_code": "US",
            "telephone_number": "847-306-9843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAKAUSKY",
        "first_name": "LAUREN",
        "middle_name": "ANN",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-20-123699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Nephrology Associates, S.C.
• Southwest Psychiatric Services, SC
• Southwest Surgical Assistants
• Southwest Vision Therapy, P.C.
• Madison Spaargaren
• Ananya T. Spann, M.D.
• Pamela Sparacino
• Patricia Speirs
• Michelle R Spencer
• Maura Ann Spiguzza, COTA/L

• Behavior Technician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.