Active NPI
Ayana Nicholes
- Behavior Technician
- Forest Park, IL
National Provider Identifier
1740113711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-26-506962
- Practice address
- 7228 Circle Ave
Forest Park, IL 60130-1163 - Phone
- (630) 632-4350
- NPI assigned
- Jun 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-26-506962 | IL | Primary |
Addresses
Primary practice location
7228 Circle Ave
Forest Park, IL 60130-1163
Mailing address
7228 Circle Ave
Forest Park, IL 60130-1163
Phone (630) 632-4350
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Behavior Analysis Group, LLC | Behavior Technician | Past | 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 and National Provider Directory roles.
-
- Behavior Analyst
- Forest Park, IL
- NPI 1871452870
Behavior Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1740113711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7228 CIRCLE AVE",
"city": "FOREST PARK",
"state": "IL",
"postal_code": "601301163",
"telephone_number": "630-632-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7228 CIRCLE AVE",
"city": "FOREST PARK",
"state": "IL",
"postal_code": "601301163",
"telephone_number": "630-632-4350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLES",
"first_name": "AYANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-26-506962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.