Eboni Nikia Vernon

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-41566 Issued in IL

Practice address

1622 S Blue Island Ave Ste 1
Chicago, IL 60608-2238

Phone

(312) 584-0559

NPI assigned

Jun 25, 2020

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Colorful Minds ABA

  • Behavior Analyst
  • Chicago, IL
  • NPI 1831859644
  NPD Authorized official
• Strive ABA Consultants LLC

  • Behavior Analyst
  • Tinley Park, IL
  • NPI 1740779834
  NPD (past)

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1669099602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 S BLUE ISLAND AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082238",
            "telephone_number": "312-584-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 S BLUE ISLAND AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082238",
            "telephone_number": "312-584-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "EBONI",
        "middle_name": "NIKIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-20-41566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Leigh Hubert Vermylen, M.D.
• Alexandria Vernasco, MSW, LCSW
• Verne H. Noparstak, Inc.
• Jane Vernik, M.D.
• Andrea Vernon-Cwik, LCSW
• Laura Engel Vernon, MD
• Michael Vernon, LCSW
• Oacy Veronesi, OTR/L
• Veronica Mack
• Marion S. Verp, M.D.

• All providers in Chicago, IL
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.