Active NPI
Jadyn Tanner Knoll, RBT
- Behavior Technician
- Chicago, IL
National Provider Identifier
1780305144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-26-2835138
- Practice address
- 4908 N Elston Ave
Chicago, IL 60630-2506 - Phone
- (317) 520-4748
- Fax
- (888) 498-5529
- NPI assigned
- Sep 5, 2022
- Sex
- Male
- Sole proprietor
- No
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-26-2835138 | IL | Primary |
Addresses
Primary practice location
4908 N Elston Ave
Chicago, IL 60630-2506
Mailing address
2901 Finley Rd Ste 102
Downers Grove, IL 60515-1774
Phone (317) 520-4748
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1780305144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 FINLEY RD STE 102",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151774",
"telephone_number": "317-520-4748",
"fax_number": "888-498-5529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4908 N ELSTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606302506",
"telephone_number": "317-520-4748",
"fax_number": "888-498-5529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOLL",
"first_name": "JADYN",
"middle_name": "TANNER",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-05",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-26-2835138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.