Nicole Jeanine Roby

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

301 Veterans Pkwy
New Lenox, IL 60451-2899

Phone

(815) 485-4781

NPI assigned

Jan 10, 2018

Last updated

Apr 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1649788795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7241 S STONY ISLAND AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492806",
            "telephone_number": "708-271-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 VETERANS PKWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512899",
            "telephone_number": "815-485-4781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 N Kensington Ave",
            "address_purpose": "LOCATION",
            "city": "LA Grange Park",
            "state": "IL",
            "postal_code": "605261870",
            "country_code": "US",
            "telephone_number": "312-965-2997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBY",
        "first_name": "NICOLE",
        "middle_name": "JEANINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin M Ring, MD
• Todd Kent Roach, D.C.
• Road Yet Taken Counseling PLLC
• Britany Robinson
• Yvonne Robles, APN
• Therese Roche
• Veronica Rodriguez-Cordova
• Kelly Rodriguez-Cowan
• Dawn R Rodriguez, M.A.,CCC-SLP
• Gabriela Rodriguez, APRN

• Behavior Analyst in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.