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Alexander A Blyth

Behavior Analyst β€’ Algonquin, IL

Active NPI 1700414505 Individual Practitioner Male Practitioner
Practice location in NPPES

1104 Isabel Dr
Algonquin, IL 601023510

Call 8153556026 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1104 Isabel Dr

Algonquin, IL 601023510

Telephone 8153556026

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Algonquin and Illinois

1 active clinicians are listed under Behavior Analyst with a practice address in Algonquin, IL (3,085 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-26
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES IL 1-24-78078

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2024

Behavior Analyst (license number reported to NPPES: IL 1-24-78078)

βœ…
NPI Profile Active March 29, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 29, 2020

Registered at 1104 ISABEL DR, ALGONQUIN, IL 601023510 (Tel: 8153556026)

πŸ“
Business Mailing Address (Initial Record) March 29, 2020

Registered at 1104 ISABEL DR, ALGONQUIN, IL 601023510 (Tel: 8153556026)

πŸ‘€
Provider Name / Credentials (Initial Record) March 29, 2020

Recorded as ALEXANDER BLYTH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2020

Behavior Technician

🟒
Initial NPI Registration & Enumeration March 29, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700414505
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2020
Last Update: December 26, 2024
Sole Proprietor: Yes

Mailing Address

1104 Isabel Dr

Algonquin, IL 601023510

Phone: 8153556026

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.