Advance Autism Pediatric LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ADVANCE AUTISM PEDIATRIC LLC

Practice address

999 N Main St Ste 100B
Glen Ellyn, IL 60137-3572

Phone

(773) 796-0812

NPI assigned

Oct 7, 2025

Last updated

Oct 7, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shaheer Hassan

Title

Owner

Phone

(773) 796-0812

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1972478329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N MAIN ST STE 100B",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601373572",
            "telephone_number": "773-796-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N MAIN ST STE 100B",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601373572",
            "telephone_number": "773-796-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE AUTISM PEDIATRIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "SHAHEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-796-0812"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.