Active NPI
Simone Paes
- Behavior Analyst
- Chicago, IL
National Provider Identifier
1992303887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-58770
- Practice address
- 3141 N Sheffield Ave
Chicago, IL 60657 - Phone
- (713) 992-9894
- NPI assigned
- Oct 13, 2020
- 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 | 1-22-58770 | IL | Primary |
Addresses
Primary practice location
3141 N Sheffield Ave
Chicago, IL 60657
Mailing address
6540 N Lincoln Ave Ste 200
Lincolnwood, IL 60712-3927
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformative ABA LLC | Behavior Analyst | Past | Accepting new patients |
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 and National Provider Directory roles.
-
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- Rio Frio, TX
- NPI 1356123194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1992303887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6540 N LINCOLN AVE STE 200",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607123927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 N SHEFFIELD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60657",
"telephone_number": "713-992-9894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAES",
"first_name": "SIMONE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2023-08-15",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-22-58770",
"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 Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.