Individual provider Active NPI

Carlotta Gabrielle Abogado, BCBA

  • Behavior Analyst
  • Orland Park, IL
National Provider Identifier
1740017243
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BACB460737 Issued in IL
Practice address
9570 W 159TH St
Orland Park, IL 60467-5698
Phone
(224) 315-8600
NPI assigned
Sep 18, 2024
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BACB460737 IL Primary

Addresses

Primary practice location

9570 W 159TH St
Orland Park, IL 60467-5698

Mailing address

6013 Forest View Rd Apt 1F
Lisle, IL 60532-3367
Phone (773) 915-3519

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
BACB460737ILMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Action Behavior Centers Therapy LLC Behavior Analyst PastSince Sep 23, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1740017243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 FOREST VIEW RD APT 1F",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323367",
            "telephone_number": "773-915-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675698",
            "telephone_number": "224-315-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOGADO",
        "first_name": "CARLOTTA",
        "middle_name": "GABRIELLE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "BACB460737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.