NPIMap

Organization Active NPI

Dynamic Behavioral Services, Inc.

  • Behavior Analyst
  • Chatham, IL
National Provider Identifier
1669715447
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-6575 Issued in IL
Legal business name
DYNAMIC BEHAVIORAL SERVICES, INC.
Practice address
1605 Sidener Hall
Chatham, IL 62629-2401
Phone
(217) 381-8487
NPI assigned
Mar 31, 2013
Last updated
Aug 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Dana M Affrunti, MS, BCBANPI 1629308747
Title
Owner/Behavior Analyst
Phone
(217) 381-8487

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-09-6575 IL Primary

Addresses

Primary practice location

1605 Sidener Hall
Chatham, IL 62629-2401

Mailing address

1605 Sidener Hall
Chatham, IL 62629-2401
Phone (217) 381-8487

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1364688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1669715447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 SIDENER HALL",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626292401",
            "telephone_number": "217-381-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 SIDENER HALL",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626292401",
            "telephone_number": "217-381-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC BEHAVIORAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-31",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "AFFRUNTI",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "217-381-8487",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-09-6575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.