Individual provider Active NPI

Audrey Louise Estill, M.A., BCBA

  • Behavior Analyst
  • Chicago, IL
National Provider Identifier
1568182467
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-60856 Issued in IL
Practice address
1400 W Randolph St Unit 914
Chicago, IL 60607-1433
Phone
(219) 983-2057
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X BACB558266 IL
Behavior Analyst 103K00000X 1-22-60856 IL Primary

Addresses

Primary practice location

1400 W Randolph St Unit 914
Chicago, IL 60607-1433

Mailing address

1400 W Randolph St Unit 914
Chicago, IL 60607-1433
Phone (219) 983-2057

Other practice location 1

2255 Enterprise Dr
Westchester, IL 60154-5812
Phone (708) 965-4123

Other practice location 2

18 N Catherine Ave
LA Grange, IL 60525-5930
Phone (945) 370-8482

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
BACB558266ILMDDevelopmental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bierman ABA Inc. Behavior Analyst Past Accepting new patients

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1568182467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W RANDOLPH ST UNIT 914",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071433",
            "telephone_number": "219-983-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W RANDOLPH ST UNIT 914",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071433",
            "telephone_number": "219-983-2057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2255 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Westchester",
            "state": "IL",
            "postal_code": "601545812",
            "country_code": "US",
            "telephone_number": "708-965-4123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 N Catherine Ave",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "IL",
            "postal_code": "605255930",
            "country_code": "US",
            "telephone_number": "945-370-8482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTILL",
        "first_name": "AUDREY",
        "middle_name": "LOUISE",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "BACB558266",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-22-60856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.