Northstar Behavioral Health & ABA Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NORTHSTAR BEHAVIORAL HEALTH & ABA THERAPY LLC

Practice address

415 S Lincoln Ave
Waukegan, IL 60085-6345

Phone

(847) 445-5192

NPI assigned

Sep 25, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Derrick L Victorian Sr.

Title

Owner/Authorized Official

Phone

(847) 445-5192

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1639082100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S LINCOLN AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856345",
            "telephone_number": "847-445-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S LINCOLN AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856345",
            "telephone_number": "847-445-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR BEHAVIORAL HEALTH & ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "VICTORIAN",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "847-445-5192",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.