Tabatha Szkutnik

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-206831 Issued in IL

Practice address

3130 Chatham Rd Ste a
Springfield, IL 62704-5379

Phone

(844) 247-7222

Fax

(215) 489-8766

NPI assigned

Mar 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Speech Tree Associates, LLC

  • Speech-Language Pathologist
  • Springfield, IL
  • NPI 1578794558
  NPD
• Autism Home Support Services, Inc

  • Behavior Analyst
  • Northbrook, IL
  • NPI 1770818841

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1841949955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639561",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639561",
            "telephone_number": "844-247-7222",
            "fax_number": "215-489-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 CHATHAM RD STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045379",
            "telephone_number": "844-247-7222",
            "fax_number": "215-489-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZKUTNIK",
        "first_name": "TABATHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-22-206831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Syed
• Hejab Syed, MD
• Sara Syeda, M.D.
• Sync Pharmacy Care, LLC (Sync Rx)
• Krzysztof Szefer, P.T.
• T H Mental Health Services
• Fareed Tabatabai, M.D.
• Everardo Tafolla III, DO
• Jenna Taft, CPNP-PC
• Suchi Tailor, BCABA

• Behavior Technician in Springfield, IL
• Providers in Springfield, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.