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Charles Sanders , MS BCBA

Behavior Analyst β€’ Berwyn, IL

Active NPI 1861885907 Individual Practitioner Male Practitioner
Practice location in NPPES

3424 Grove Ave
Berwyn, IL 604023636

Call 7083071472 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

3424 Grove Ave

Berwyn, IL 604023636

Telephone 7083071472

NPI first issued

2015

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 Berwyn and Illinois

2 active clinicians are listed under Behavior Analyst with a practice address in Berwyn, 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Addresses are self-reported to NPPES and may be out of date.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: 2019-12-26
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES None 1-19-38715

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Psychologist - Cognitive & Behavioral

NUCC Taxonomy Code: 103TB0200X

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

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

9 Historical Events
πŸ“
Updated Practice Location December 26, 2019

Registered at 3424 GROVE AVE, BERWYN, IL 604023636 (Tel: 7083071472)

πŸ“
Updated Business Mailing Address December 26, 2019

Registered at 3424 GROVE AVE, BERWYN, IL 604023636 (Tel: 7083071472)

πŸ‘€
Provider Name / Credentials Updated December 26, 2019

Recorded as CHARLES SANDERS, MS BCBA

βœ…
NPI Profile Active March 13, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 13, 2015

Registered at 1438 SCOVILLE AVE, BERWYN, IL 604021159 (Tel: 7083071472)

πŸ“
Business Mailing Address (Initial Record) March 13, 2015

Registered at 1438 SCOVILLE AVE, BERWYN, IL 604021159 (Tel: 7083071472)

πŸ‘€
Provider Name / Credentials (Initial Record) March 13, 2015

Recorded as CHUCK SANDERS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2015

Counselor

🟒
Initial NPI Registration & Enumeration March 13, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1861885907
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2015
Last Update: December 26, 2019
Sole Proprietor: Yes

Mailing Address

3424 Grove Ave

Berwyn, IL 604023636

Phone: 7083071472

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.