Individual provider Active NPI

Michelle Chvalovsky, BCBA

  • Behavior Analyst
  • Aurora, IL
National Provider Identifier
1871963868
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-18878 Issued in IL
Practice address
452 N Eola Rd Ste a
Aurora, IL 60502-9110
Phone
(888) 308-3728
NPI assigned
Oct 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-15-18878 IL Primary

Addresses

Primary practice location

452 N Eola Rd Ste a
Aurora, IL 60502-9110

Mailing address

452 N Eola Rd
Aurora, IL 60502-9612
Phone (888) 308-3728

Other practice location 1

16W361 S Frontage Rd
Ste 131
Burr Ridge, IL 60527-5830
Phone (630) 590-5571

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": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1871963868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 N EOLA RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029612",
            "telephone_number": "888-308-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 N EOLA RD STE A",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029110",
            "telephone_number": "888-308-3728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16W361 S Frontage Rd",
            "address_2": "Ste 131",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605275830",
            "country_code": "US",
            "telephone_number": "630-590-5571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHVALOVSKY",
        "first_name": "MICHELLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-15-18878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.