Carla Angela Anfuso, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-60468 Issued in IL

Practice address

13664 Anne Dr
Lemont, IL 60439-8724

Phone

(312) 420-2093

Fax

(331) 318-8415

NPI assigned

Aug 22, 2022

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Autism Behavior & Childhood Service, Inc.

  • Behavior Analyst
  • Lemont, IL
  • NPI 1629341433
  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1740908128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 ELMWOOD AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604026363",
            "telephone_number": "708-288-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13664 ANNE DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604398724",
            "telephone_number": "312-420-2093",
            "fax_number": "331-318-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANFUSO",
        "first_name": "CARLA",
        "middle_name": "ANGELA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-22-60468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvernia Manor Senior Living
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• Amt Healthcare SC (Forzley Filippini Chiropractic)
• Danyelle J Andrews, DPT
• Daniel J Angus, RPH
• Anna N Ashum, MSW, LCSW
• Athletic and Therapeutic Institute of Naperville LLC (ATI Physical Therapy)
• Athletico LTD (Athletico Physical Therapy)
• Ciara Joy Athy, MA, LPC, ATR

• Behavior Analyst in Lemont, IL
• Providers in Lemont, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.