Active NPI
Audrey Louise Estill, M.A., BCBA
- Behavior Analyst
- Chicago, IL
National Provider Identifier
1568182467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-60856
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| BACB558266 | IL | MD | Developmental Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Developmental Disabilities Clinic/Center
- Westfield, IN
- NPI 1114285855
Behavior Analyst
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.