NPIMap

Organization Active NPI

Autism Behavior Therapy

Doing business as The Autism Clinic

  • Behavior Analyst
  • Burr Ridge, IL
National Provider Identifier
1649711573
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM BEHAVIOR THERAPY
Doing business as
The Autism Clinic
Practice address
124 Kraml Dr
Burr Ridge, IL 60527-0303
Phone
(630) 631-9623
Fax
(630) 920-0522
NPI assigned
Mar 11, 2017
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
AUTISM BEHAVIOR THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Mrs. Shaden S Kassar, BCBANPI 1548632383
Title
Board Certified Behavior Analyst
Phone
(630) 631-9623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 11520882 IL
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

124 Kraml Dr
Burr Ridge, IL 60527-0303

Mailing address

124 Kraml Dr
Burr Ridge, IL 60527-0303
Phone (630) 631-9623

Other names 1

  • The Autism Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Autism Behavior Therapy4 organizations share this tax ID, including this one
Part of
Autism Behavior Therapy

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4830 N Pulaski Rd
Chicago, IL 60630
Phone (312) 802-2917

4954 W 95th St
Oak Lawn, IL 60453
Phone (630) 290-8500

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1649711573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 KRAML DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270303",
            "telephone_number": "630-631-9623",
            "fax_number": "630-920-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 KRAML DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270303",
            "telephone_number": "630-631-9623",
            "fax_number": "630-920-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM BEHAVIOR THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUTISM BEHAVIOR THERAPY",
        "enumeration_date": "2017-03-11",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "KASSAR",
        "authorized_official_first_name": "SHADEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "630-631-9623",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "11520882",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Autism Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.