Active NPI
Stephanie Weisman
- Behavior Analyst
- Buffalo Grove, IL
National Provider Identifier
1831663137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-34606
- Practice address
- 6 W Canterbury LN
Buffalo Grove, IL 60089-7014 - Phone
- (847) 306-9843
- NPI assigned
- Jan 20, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-19-34606 | IL | Primary |
Addresses
Primary practice location
6 W Canterbury LN
Buffalo Grove, IL 60089-7014
Mailing address
6 W Canterbury LN
Buffalo Grove, IL 60089-7014
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": "1547942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1831663137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 W CANTERBURY LN",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600897014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 W CANTERBURY LN",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600897014",
"telephone_number": "847-306-9843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISMAN",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-20",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-19-34606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.