Individual provider Active NPI

Jessica Ann Schulzki, BEHAVIOR ANALYST

  • Behavior Analyst
  • Bloomington, IL
National Provider Identifier
1912729153
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
152.000873 Issued in IL
Practice address
301 S Prospect Rd Ste 2
Bloomington, IL 61704-4908
Phone
(773) 644-7787
Fax
(224) 241-3132
NPI assigned
Oct 29, 2024
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 152.000873 IL Primary

Addresses

Primary practice location

301 S Prospect Rd Ste 2
Bloomington, IL 61704-4908

Mailing address

8609 W Bryn Mawr Ave Ste 204
Chicago, IL 60631-3524
Phone (773) 644-7787

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

LicenseStateTypeSpecialty
152.000873ILMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Evaluation Center at the Place PastSince May 4, 2025 Accepting new patients
Djje Holdings LLC Behavior Analyst Past Accepting new patients
The Place for Speech Therapy LLC Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1912729153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 W BRYN MAWR AVE STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313524",
            "telephone_number": "773-644-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S PROSPECT RD STE 2",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044908",
            "telephone_number": "773-644-7787",
            "fax_number": "224-241-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZKI",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "BEHAVIOR ANALYST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-05-01",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "152.000873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.