Organization Active NPI

Open Door Behavior Solutions LLC

  • Behavior Analyst
  • Lynwood, IL
National Provider Identifier
1760147953
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
OPEN DOOR BEHAVIOR SOLUTIONS LLC
Practice address
19821 Margaret CT
Lynwood, IL 60411-6302
Phone
(708) 374-0747
NPI assigned
Nov 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Maya Williams, BCBANPI 1356887012
Title
Owner
Phone
(708) 374-0747

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: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

19821 Margaret CT
Lynwood, IL 60411-6302

Mailing address

3445 Jennifer CT
Steger, IL 60475-1528
Phone (708) 374-0747

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1760147953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 JENNIFER CT",
            "city": "STEGER",
            "state": "IL",
            "postal_code": "604751528",
            "telephone_number": "708-374-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19821 MARGARET CT",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604116302",
            "telephone_number": "708-374-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR BEHAVIOR SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-374-0747",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.