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Kendall Maree Ryndak Samuel , BCBA

Behavior Analyst β€’ Wheaton, IL

Active NPI 1285145987 Individual Practitioner Female Practitioner
Practice location in NPPES

1725 S Naperville Rd Ste 110
Wheaton, IL 601895855

Call 6307938404 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

1725 S Naperville Rd Ste 110

Wheaton, IL 601895855

Telephone 6307938404
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Carol Stream, IL; Glen Ellyn, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

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 Wheaton and Illinois

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Wheaton

0% of these 26 clinicians have the CMS telehealth indicator.

0% of these 26 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: 2023-03-29
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES IL 11726993

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

Secondary Practice Locations

411 E Geneva Rd

Carol Stream, IL 601882457

Phone: 8154691500

910 Roosevelt Rd

Glen Ellyn, IL 601377829

Phone: 8154691500

Career & Practice History Timeline

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

13 Historical Events
πŸ‘€
Provider Name / Credentials Updated March 29, 2023

Recorded as KENDALL RYNDAK SAMUEL, BCBA

πŸ“
Updated Practice Location April 07, 2022

Registered at 1725 S NAPERVILLE RD STE 110, WHEATON, IL 601895855 (Tel: 6307938404)

πŸ“
Updated Business Mailing Address April 07, 2022

Registered at 1725 S NAPERVILLE RD STE 110, WHEATON, IL 601895855 (Tel: 6307938404)

πŸ“
Updated Practice Location January 09, 2019

Registered at 1725 S NAPERVILLE RD, WHEATON, IL 601895805 (Tel: 6307938404)

πŸ“
Updated Business Mailing Address January 09, 2019

Registered at 1725 S NAPERVILLE RD, WHEATON, IL 601895805 (Tel: 6307938404)

πŸ“
Updated Practice Location August 28, 2018

Registered at 21000 S FRANKFORT SQUARE RD STE D, FRANKFORT, IL 60423 (Tel: 8154691500)

πŸ‘€
Provider Name / Credentials Updated August 28, 2018

Recorded as KENDALL RYNDAK, BCBA

βœ…
NPI Profile Active October 20, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 20, 2017

Registered at 21000 S FRANKFORT SQUARE RD STE D, FRANKFORT, IL 604239386 (Tel: 8154691500)

πŸ“
Business Mailing Address (Initial Record) October 20, 2017

Registered at 21000 S FRANKFORT SQUARE RD STE D, FRANKFORT, IL 604239386 (Tel: 8154691500)

πŸ‘€
Provider Name / Credentials (Initial Record) October 20, 2017

Recorded as KENDALL RYNDAK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2017

Behavior Analyst (license number reported to NPPES: IL 11726993)

🟒
Initial NPI Registration & Enumeration October 20, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285145987
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2017
Last Update: March 29, 2023
Sole Proprietor: No

Mailing Address

1725 S Naperville Rd Ste 110

Wheaton, IL 601895855

Phone: 6307938404

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.