Active NPI
Nicole Moser
- Behavior Analyst
- Wheeling, IL
National Provider Identifier
1972470490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 460348
- Practice address
- 712 S Milwaukee Ave
Wheeling, IL 60090-6202 - Phone
- (224) 366-7268
- NPI assigned
- Oct 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 460348 | IL | Primary |
Addresses
Primary practice location
712 S Milwaukee Ave
Wheeling, IL 60090-6202
Mailing address
1127 N Dunton Ave
Arlington Heights, IL 60004-4724
Phone (847) 373-0547
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
| License | State | Type | Specialty |
|---|---|---|---|
| 460348 | IL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1972470490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 N DUNTON AVE",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600044724",
"telephone_number": "847-373-0547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 S MILWAUKEE AVE",
"city": "WHEELING",
"state": "IL",
"postal_code": "600906202",
"telephone_number": "224-366-7268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSER",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "IL",
"license": "460348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.