Individual provider Active NPI

Remy Comerford Kaleb, BCBA

  • Behavior Analyst
  • Chicago, IL
National Provider Identifier
1609356278
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-32573 Issued in IL
Practice address
7029 N Greenview Ave Apt 2S
Chicago, IL 60626-2856
Phone
(309) 530-1397
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X
Behavior Analyst 103K00000X 1-18-32573 IL Primary

Addresses

Primary practice location

7029 N Greenview Ave Apt 2S
Chicago, IL 60626-2856

Mailing address

7029 N Greenview Ave Apt 2S
Chicago, IL 60626-2856
Phone (309) 530-1397

Other practice location 1

721 South Blvd Ste 210
Oak Park, IL 60302-2982
Phone (312) 404-7225

Other practice location 2

901 Biesterfield Rd Ste 110
Elk Grove Village, IL 60007-3393
Phone (630) 999-8227

Other names 1

  • Kayla Comerford Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1609356278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7029 N GREENVIEW AVE APT 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262856",
            "telephone_number": "309-530-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7029 N GREENVIEW AVE APT 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262856",
            "telephone_number": "309-530-1397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 South Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603022982",
            "country_code": "US",
            "telephone_number": "312-404-7225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Biesterfield Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Elk Grove Village",
            "state": "IL",
            "postal_code": "600073393",
            "country_code": "US",
            "telephone_number": "630-999-8227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALEB",
        "first_name": "REMY",
        "middle_name": "COMERFORD",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-18-32573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "COMERFORD",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 31, 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.