Unknown Individual – Behavior Analyst, NPI 1417365669

Unknown Individual is a healthcare provider. based in Calumet city, Illinois. specializing in Behavior Analyst. They hold a License No. 9999999 (IN). The NPI Number for Unknown Individual is 1417365669

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417365669
Phone
(219) 661-8381
Address
472 HIRSCH AVE
Deactivation Date
11 June 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 472 HIRSCH AVE

    CALUMET CITY, IL 604092503

    Phone: (219) 661-8381

    Type: Mailing

  • 1100 W 6TH AVE

    EDGEWATER SYSTEMS

    GARY, IN 464021711

    Phone: (219) 885-4264

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60409)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1417365669.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Behavior Analyst. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Calumet City, Illinois in our summary view.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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