NPIMap

Organization Active NPI

Modern Behavior Consulting LLC

Doing business as Modern Behavior Consulting

  • Behavior Analyst
  • Plainfield, IL
National Provider Identifier
1780276048
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MODERN BEHAVIOR CONSULTING LLC
Doing business as
Modern Behavior Consulting
Practice address
13550 S Route 30
Suite 204 # E
Plainfield, IL 60544
Phone
(815) 308-2322
Fax
(844) 991-3532
NPI assigned
Feb 8, 2021
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Matthew Nordman, M.A., BCBANPI 1689044943
Title
Owner
Phone
(815) 308-2322

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 Analyst 103K00000X NU Primary

Addresses

Primary practice location

13550 S Route 30
Suite 204 # E
Plainfield, IL 60544

Mailing address

13550 S Route 30
Suite 204 # E
Plainfield, IL 60544
Phone (815) 308-2322

Other practice location 1

24641 W Harvester Dr
Plainfield, IL 60544-4207
Phone (815) 308-2322

Other identifiers 1

IdentifierTypeStateIssuer
1-15-20843OtherILBEHAVIOR ANALYST CERTIFICATION BOARD

Other names 1

  • Modern Behavior Consulting Doing business as

National Provider Directory

National Provider Directory

Locations

67 E Madison St
Ste 1603A
Chicago, IL 60603
Phone (331) 465-9588

13550 S Route 30
Ste 204E
Plainfield, IL 60544
Phone (815) 308-2322

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1780276048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13550 S ROUTE 30",
            "address_2": "SUITE 204 # E",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60544",
            "telephone_number": "815-308-2322",
            "fax_number": "844-991-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 S ROUTE 30",
            "address_2": "SUITE 204 # E",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60544",
            "telephone_number": "815-308-2322",
            "fax_number": "844-991-3532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24641 W Harvester Dr",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605444207",
            "country_code": "US",
            "telephone_number": "815-308-2322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MODERN BEHAVIOR CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2024-01-31",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "NORDMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-308-2322",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-15-20843",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Behavior Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.