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Kathleen Gardner , BCBA

Behavior Analyst β€’ Mokena, IL

Active NPI 1275814519 Individual Practitioner Female Practitioner
Practice location in NPPES

9500 Bormet Dr
Mokena, IL 604488303

Call 8154691500 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

9500 Bormet Dr

Mokena, IL 604488303

Telephone 8154691500
Organization at the Same NPPES Address or Phone
Westside Aba Facility NPI 1245585777

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2011

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 Mokena and Illinois

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mokena

0% of these 28 clinicians have the CMS telehealth indicator.

0% of these 28 clinicians are listed by CMS as accepting Medicare assignment.

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: 2026-03-19
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Phcs Ppo (Private Insurance)
887686217C

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1013575232

Doctor of Physical Therapy

Career & Practice History Timeline

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

13 Historical Events
πŸ“
Updated Practice Location March 19, 2026

Registered at 9500 BORMET DR, MOKENA, IL 604488303 (Tel: 8154691500)

πŸ“
Updated Business Mailing Address March 19, 2026

Registered at 9500 BORMET DR STE 304, MOKENA, IL 604488399 (Tel: 8154691500)

πŸ“
Updated Practice Location March 14, 2022

Registered at 8609 W BRYN MAWR AVE STE 204, CHICAGO, IL 606313524 (Tel: 2242927984)

πŸ“
Updated Business Mailing Address March 14, 2022

Registered at 8609 W BRYN MAWR AVE STE 204, CHICAGO, IL 606313524 (Tel: 2242927984)

πŸ‘€
Provider Name / Credentials Updated March 14, 2022

Recorded as KATHLEEN GARDNER, BCBA

πŸ“
Updated Practice Location January 09, 2019

Registered at 1409 W CARROLL AVE, CHICAGO, IL 606071105 (Tel: 3127330883)

πŸ“
Updated Business Mailing Address January 09, 2019

Registered at 1409 W CARROLL AVE, CHICAGO, IL 606071105 (Tel: 3127330883)

βœ…
NPI Profile Active August 31, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 31, 2011

Registered at 4677 N VIRGINIA AVE, 1N, CHICAGO, IL 606252953 (Tel: 3125204657)

πŸ“
Business Mailing Address (Initial Record) August 31, 2011

Registered at 2141 W POTOMAC AVE, #3, CHICAGO, IL 606227877 (Tel: 3124020678)

πŸ‘€
Provider Name / Credentials (Initial Record) August 31, 2011

Recorded as KATE SCULLY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2011

Behavior Analyst

🟒
Initial NPI Registration & Enumeration August 31, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275814519
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2011
Last Update: March 19, 2026
Sole Proprietor: No

Mailing Address

9500 Bormet Dr Ste 304

Mokena, IL 604488399

Phone: 8154691500

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.