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CARISSA SHOULTZ RBT-17-38260
NPI 1396234894
Behavior Analyst in Chicago, IL

Active since May 09, 2018
2602 N SAINT LOUIS AVE # 3, CHICAGO, IL 60647(608) 345-2474 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2021, May 9, 2018 (2 updates tracked since 2018).

About Carissa Shoultz Rbt-17-38260 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARISSA SHOULTZ RBT-17-38260 (NPI 1396234894) is an individual behavior analyst provider in Chicago, Illinois, licensed in Illinois (1-21-49774) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1396234894
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameCARISSA SHOULTZCredential: RBT-17-38260
Location Address2602 N SAINT LOUIS AVE # 3Chicago, IL 60647-1216
Mailing Address2602 N Saint Louis Ave # 3Chicago, IL 60647-1216 · (608) 345-2474
Phone(608) 345-2474
Sole ProprietorYes
Enumeration DateMay 9, 2018
Last NPPES UpdateJune 2, 20212 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
✔ NPI 1396234894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in IL · 1-21-49774
Definition
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X · License 17-38260 (IL)
2602 N SAINT LOUIS AVE # 3, Chicago, IL 60647
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carissa Shoultz's NPI number?

The NPI number for Carissa Shoultz is 1396234894. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Where is Carissa Shoultz located?

Carissa Shoultz practices at 2602 N Saint Louis Ave # 3, Chicago, IL 60647. The listed phone number is (608) 345-2474.

What is Carissa Shoultz's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Carissa Shoultz accept?

Health plans from Providence Health Plan list Carissa Shoultz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carissa Shoultz was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.