Taliyah Daniel Nowlin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1409 W Carroll Ave
Chicago, IL 60607-1105

Phone

(312) 733-0883

NPI assigned

Jul 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eyas Landing, Inc.

  • Early Intervention Provider Agency
  • Chicago, IL
  • NPI 1053621391
  NPD (past)

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1891303210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 W CARROLL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071105",
            "telephone_number": "312-733-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 W CARROLL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071105",
            "telephone_number": "312-733-0883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1128A Beville Rd Fl 32114",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321145743",
            "country_code": "US",
            "telephone_number": "386-267-3161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWLIN",
        "first_name": "TALIYAH",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-154922",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taliyahnowlin@eyaslanding.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1409 W Carroll Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606071105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine Nowicki, LCSW
• Diana Nicole Nowicki, PHARMD
• Lakeisha Nowicki, LPC
• Juleigh Marie Nowinski Konchak, M.D.
• Danielle Nowlan, LCSW
• Nowobilska Medical
• Nowobilska Medical Practice
• Nowobilska Medical Practice LTD
• Anna Nowobilska, MD
• Robert M Nowocin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.