Active NPI
Caitlin Bieda
- Behavior Technician
- Chicago, IL
National Provider Identifier
1881286623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB653334
- Practice address
- 6637 N Northwest Hwy
Chicago, IL 60631-1351 - Phone
- (847) 977-9506
- NPI assigned
- Feb 3, 2021
- 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 Technician | 106S00000X | BACB653334 | IL | Primary |
Addresses
Primary practice location
6637 N Northwest Hwy
Chicago, IL 60631-1351
Mailing address
3400 W Stonegate Blvd Ste 101
Arlington Heights, IL 60005-1068
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
| License | State | Type | Specialty |
|---|---|---|---|
| BACB653334 | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1881286623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 W STONEGATE BLVD STE 101",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600051068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6637 N NORTHWEST HWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606311351",
"telephone_number": "847-977-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIEDA",
"first_name": "CAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "BACB653334",
"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 Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.