Individual provider Active NPI

Dafne Perez-Quinn, BCBA

  • Behavior Analyst
  • Franklin Park, IL
National Provider Identifier
1669961397
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
3617 Dora St
Franklin Park, IL 60131-1613
Phone
(708) 949-0746
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 16-24268 IL
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

3617 Dora St
Franklin Park, IL 60131-1613

Mailing address

3617 Dora St
Franklin Park, IL 60131-1613

Other practice location 1

44 W Roosevelt Rd
Lombard, IL 60148-4402
Phone (773) 727-8182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16-24268ILMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Owllight Therapy Inc Behavior Analyst CurrentSince Jan 17, 2022 Accepting new patients

Locations

7222 W Cermak Rd
Ste 500
Riverside, IL 60546
Phone (708) 442-0023

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1669961397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 DORA ST",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601311613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 DORA ST",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601311613",
            "telephone_number": "708-949-0746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 W Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601484402",
            "country_code": "US",
            "telephone_number": "773-727-8182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ-QUINN",
        "first_name": "DAFNE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "16-24268",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.