Individual provider Active NPI

Alexis Marie Aguilar, BCBA

  • Behavior Analyst
  • Northbrook, IL
National Provider Identifier
1962168971
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-55447 Issued in IL
Practice address
666 Dundee Rd Ste 1605
Northbrook, IL 60062-2738
Phone
(847) 495-2640
NPI assigned
Nov 14, 2021
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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 1-21-55447 IL Primary

Addresses

Primary practice location

666 Dundee Rd Ste 1605
Northbrook, IL 60062-2738

Mailing address

1497 W Sedgewood CT
Round Lake, IL 60073-2392
Phone (224) 538-9523

Other practice location 1

1200 Concord Ave Ste 185
Concord, CA 94520-5006
Phone (224) 538-9523

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marissa Bennett Consulting, LLC Behavior Analyst CurrentSince Oct 6, 2024 Accepting new patients

Locations

666 Dundee Rd
Ste 1605
Northbrook, IL 60062
Phone (847) 495-2640

Organizations & group practices 1

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": "1636848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1962168971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 W SEDGEWOOD CT",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600732392",
            "telephone_number": "224-538-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 1605",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622738",
            "telephone_number": "847-495-2640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Concord Ave Ste 185",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945205006",
            "country_code": "US",
            "telephone_number": "224-538-9523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-14",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-21-55447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.