Active NPI
Dena Valentino
- Behavior Analyst
- Lakemoor, IL
National Provider Identifier
1841591393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 590 Summer Blvd
#203
Lakemoor, IL 60051-6499 - Phone
- (847) 553-1890
- NPI assigned
- Nov 14, 2010
- Last updated
- Nov 14, 2010
- Sex
- Female
- 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 Analyst | 103K00000X | IL | Primary |
Addresses
Primary practice location
590 Summer Blvd
#203
Lakemoor, IL 60051-6499
Mailing address
590 Summer Blvd
#203
Lakemoor, IL 60051-6499
Phone (847) 553-1890
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": "1289692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289692800000",
"number": "1841591393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 SUMMER BLVD",
"address_2": "#203",
"city": "LAKEMOOR",
"state": "IL",
"postal_code": "600516499",
"telephone_number": "847-553-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 SUMMER BLVD",
"address_2": "#203",
"city": "LAKEMOOR",
"state": "IL",
"postal_code": "600516499",
"telephone_number": "847-553-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINO",
"first_name": "DENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-14",
"last_updated": "2010-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakemoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.