Creative Edge Consulting

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CREATIVE EDGE CONSULTING

Practice address

9560 140TH CT Apt 306
Orland Park, IL 60462-1218

Phone

(708) 800-9835

NPI assigned

May 21, 2024

Organization subpart

No

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

Authorized official

Name

Caitlin M Carroll, MA, BCBANPI 1134577109

Title

Ceo/Founder

Phone

(708) 800-9835

Specialties & licenses 1

Addresses

Other names 1

• Creative Edge Consulting Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caitlin Carroll, BCBA

  • Behavior Analyst
  • Mokena, IL
  • NPI 1134577109
  NPD Authorized official

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1992544886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9560 140TH CT APT 306",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621218",
            "telephone_number": "708-800-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9560 140TH CT APT 306",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621218",
            "telephone_number": "708-800-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE EDGE CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "708-800-9835",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Edge Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Behavior Analyst in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.