Individual provider Active NPI

Nardos Anjelani Mwanasali

  • Behavior Technician
  • Chicago, IL
National Provider Identifier
1689563207
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-414665 Issued in IL
Practice address
1516 W Touhy Ave Apt 3B
Chicago, IL 60626-2631
Phone
(312) 898-5829
NPI assigned
Jun 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-414665 IL Primary

Addresses

Primary practice location

1516 W Touhy Ave Apt 3B
Chicago, IL 60626-2631

Mailing address

1516 W Touhy Ave Apt 3B
Chicago, IL 60626-2631
Phone (312) 898-5829

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
RBT-25-414665ILMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1689563207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 W TOUHY AVE APT 3B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262631",
            "telephone_number": "312-898-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 W TOUHY AVE APT 3B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262631",
            "telephone_number": "312-898-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWANASALI",
        "first_name": "NARDOS",
        "middle_name": "ANJELANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-25-414665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.