NPIMap

Organization Active NPI

ABA Midwest Education LTD

  • Behavior Analyst
  • Chicago, IL
National Provider Identifier
1891088290
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-031395 Issued in IL
Legal business name
ABA MIDWEST EDUCATION LTD
Practice address
1136 S Delano CT W B201
Chicago, IL 60605-3734
Phone
(312) 375-1000
Fax
(773) 326-0725
NPI assigned
May 18, 2011
Last updated
Sep 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Ms. Janice Marie Pellecchia, B.C.B.A, M.A.NPI 1407069941
Title
Board Certified Behavior Analyst
Phone
(312) 375-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-004663 IL
Intellectual & Developmental Disabilities Psychologist 103TM1800X 1-031395 IL
Intellectual & Developmental Disabilities Psychologist 103TM1800X 071-004663 IL
Behavior Analyst 103K00000X 1-118506 IL
Behavior Analyst 103K00000X 1-031395 IL Primary

Addresses

Primary practice location

1136 S Delano CT W B201
Chicago, IL 60605-3734

Mailing address

1136 S Delano CT W B201
Chicago, IL 60605-3734
Phone (312) 375-1000

Other identifiers 2

IdentifierTypeStateIssuer
1114025434OtherILLCP, ILLINOIS
1407069941OtherBEHAVIORAL ANALYST

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1891088290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 S DELANO CT W B201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053734",
            "telephone_number": "312-375-1000",
            "fax_number": "773-326-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 S DELANO CT W B201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053734",
            "telephone_number": "312-375-1000",
            "fax_number": "773-326-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA MIDWEST EDUCATION LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "PELLECCHIA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "312-375-1000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.C.B.A, M.A."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-004663",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "IL",
            "license": "1-031395",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "IL",
            "license": "071-004663",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-118506",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-031395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCP, ILLINOIS",
            "identifier": "1114025434",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL ANALYST",
            "identifier": "1407069941",
            "state": null
        }
    ],
    "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 Sep 18, 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.