Organization Active NPI

Behaviorcare Hub LLC

  • Behavior Analyst
  • Bolingbrook, IL
National Provider Identifier
1750125902
Registry record updated Jun 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIORCARE HUB LLC
Practice address
5 Nandina CT
Bolingbrook, IL 60490-2121
Phone
(917) 946-5179
NPI assigned
Jun 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2024

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

Authorized official

Name
Chelsea B Ansong, BCBANPI 1134983075
Title
Owner/Ceo
Phone
(917) 946-5179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5 Nandina CT
Bolingbrook, IL 60490-2121

Mailing address

5 Nandina CT
Bolingbrook, IL 60490-2121
Phone (917) 946-5179

Other names 1

  • BEHAVIORCARE HUB LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

5 Nandina Ct
Bolingbrook, IL 60490
Phone (917) 946-5179

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719014400000",
    "number": "1750125902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NANDINA CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604902121",
            "telephone_number": "917-946-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 NANDINA CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604902121",
            "telephone_number": "917-946-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORCARE HUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-22",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A",
        "authorized_official_last_name": "ANSONG",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "917-946-5179",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEHAVIORCARE HUB LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bolingbrook, IL

Sources for this page

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