Active NPI
Kasey Morgan Kozak, RBT
- Behavior Technician
- Palatine, IL
National Provider Identifier
1821585464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 18-53497
- Practice address
- 747 W Hillcrest Rd
Palatine, IL 60074-1088 - Phone
- (912) 996-2391
- NPI assigned
- Apr 19, 2018
- 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 Technician | 106S00000X | 18-53497 | IL | Primary |
Addresses
Primary practice location
747 W Hillcrest Rd
Palatine, IL 60074-1088
Mailing address
747 W Hillcrest Rd
Palatine, IL 60074-1088
Phone (912) 996-2391
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-53497 | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1821585464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 W HILLCREST RD",
"city": "PALATINE",
"state": "IL",
"postal_code": "600741088",
"telephone_number": "912-996-2391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 W HILLCREST RD",
"city": "PALATINE",
"state": "IL",
"postal_code": "600741088",
"telephone_number": "912-996-2391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZAK",
"first_name": "KASEY",
"middle_name": "MORGAN",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-19",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "18-53497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.