Active NPI
Alex Devon Andrew, BT
- Behavior Technician
- Chicago, IL
National Provider Identifier
1962213058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 106S00000X
- Practice address
- 5420 N Harlem Ave
Chicago, IL 60656-1800 - Phone
- (708) 667-0790
- NPI assigned
- Jan 16, 2025
- Sex
- Male
- 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 | 106S00000X | IL | Primary |
Addresses
Primary practice location
5420 N Harlem Ave
Chicago, IL 60656-1800
Mailing address
3816 N Drake Ave Apt 2
Chicago, IL 60618-4270
Phone (908) 404-6381
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
- Credentials
- Bachelor of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106S00000X | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1962213058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3816 N DRAKE AVE APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606184270",
"telephone_number": "908-404-6381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 N HARLEM AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606561800",
"telephone_number": "708-667-0790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREW",
"first_name": "ALEX",
"middle_name": "DEVON",
"credential": "BT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-16",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "106S00000X",
"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 Jan 16, 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.