Active NPI
Kirsten Dvorak
- Behavior Analyst
- Mount Prospect, IL
National Provider Identifier
1801273966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-18296
- Practice address
- 625 Slawin CT
Mt Prospect, IL 60056-2183 - Phone
- (312) 625-7217
- NPI assigned
- Apr 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 1-15-18296 | IL | Primary |
Addresses
Primary practice location
625 Slawin CT
Mt Prospect, IL 60056-2183
Mailing address
625 Slawin CT
Mt Prospect, IL 60056-2183
Phone (773) 891-6313
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": "1430179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1801273966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 SLAWIN CT",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600562183",
"telephone_number": "773-891-6313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 SLAWIN CT",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600562183",
"telephone_number": "312-625-7217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DVORAK",
"first_name": "KIRSTEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-28",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-15-18296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.