Active NPI
Cassidy Ancira
- Behavior Analyst
- Lombard, IL
National Provider Identifier
1972172526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-60792
- Practice address
- 820 Parkview Blvd
Lombard, IL 60148-3200 - Phone
- (630) 449-3101
- NPI assigned
- Jun 18, 2021
- Last updated
- Jan 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-22-60792 | IL | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
820 Parkview Blvd
Lombard, IL 60148-3200
Mailing address
4655 Kirchoff Rd # 39
Rolling Meadows, IL 60008-2070
Phone (847) 323-5536
Other practice location 1
975 W Hawthorn Dr
Itasca, IL 60143-2056
Phone (800) 844-1232
Other practice location 2
917 Sherwood Dr Ste 201
Lake Bluff, IL 60044-2235
Phone (877) 486-4140 ext. 23225
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1972172526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4655 KIRCHOFF RD # 39",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600082070",
"telephone_number": "847-323-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 PARKVIEW BLVD",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601483200",
"telephone_number": "630-449-3101"
}
],
"practiceLocations": [
{
"address_1": "975 W Hawthorn Dr",
"address_purpose": "LOCATION",
"city": "Itasca",
"state": "IL",
"postal_code": "601432056",
"country_code": "US",
"telephone_number": "800-844-1232",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "917 Sherwood Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Lake Bluff",
"state": "IL",
"postal_code": "600442235",
"country_code": "US",
"telephone_number": "877-486-4140 x23225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANCIRA",
"first_name": "CASSIDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-22-60792",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.