Individual provider Active NPI

Amanda C Culig

  • Behavior Technician
  • Chicago, IL
National Provider Identifier
1841781267
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
1739222 Issued in IL
Practice address
2959 N Damen Ave Apt 3H
Chicago, IL 60618-8232
Phone
(847) 477-5005
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 1739222 IL Primary

Addresses

Primary practice location

2959 N Damen Ave Apt 3H
Chicago, IL 60618-8232

Mailing address

2959 N Damen Ave Apt 3H
Chicago, IL 60618-8232
Phone (847) 477-5005

Other practice location 1

6113 N Lawndale Ave
Chicago, IL 60659-3113
Phone (847) 477-5005

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

LicenseStateTypeSpecialty
1739222ILMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1841781267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 N DAMEN AVE APT 3H",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606188232",
            "telephone_number": "847-477-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 N DAMEN AVE APT 3H",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606188232",
            "telephone_number": "847-477-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6113 N Lawndale Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606593113",
            "country_code": "US",
            "telephone_number": "847-477-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULIG",
        "first_name": "AMANDA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "1739222",
            "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 May 21, 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.

Verify at the official NPI Registry.