NPI 1972172526 · live from the CMS NPI Registry
Cassidy Ancira
Behavior Analyst in Lombard, IL. National Provider Identifier 1972172526, active.
NPI record
| NPI | 1972172526 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 820 Parkview Blvd, Lombard, IL 60148 |
| Practice phone | 630-449-3101 |
| Mailing address | 4655 Kirchoff Rd # 39, Rolling Meadows, IL 60008 |
| Enumerated | June 18, 2021 |
| Last updated | January 3, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | 1-22-60792 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.