MS. NICOLETTE PAIGE SUSRALSKI MA
NPI 1821846874
Behavior Analyst in Tinley Park, IL

Active since May 07, 2024
16086 HARLEM AVE, TINLEY PARK, IL 60477(815) 469-1500 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2025, May 7, 2024 (2 updates tracked since 2024).

About Ms. Nicolette Paige Susralski Ma NPPES

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

MS. NICOLETTE PAIGE SUSRALSKI MA (NPI 1821846874) is an individual behavior analyst provider in Tinley Park, Illinois, licensed in Illinois (1-25-81898) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1821846874
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMS. NICOLETTE PAIGE SUSRALSKICredential: MA
Location Address16086 HARLEM AVETinley Park, IL 60477-1612
Mailing Address16086 Harlem AveTinley Park, IL 60477-1612 · (708) 719-4288
Sole ProprietorNo
Enumeration DateMay 7, 2024
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
NPI 1821846874 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 · 1-25-81898
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 RBT-22-203206 (IL)
16086 HARLEM AVE, Tinley Park, IL 60477

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
16086 HARLEM AVE
TINLEY PARK, IL 60477
Behavior Analyst
16086 HARLEM AVE
TINLEY PARK, IL 60477
Behavior Analyst
16086 HARLEM AVE
TINLEY PARK, IL 60477
Speech-Language Pathologist
16086 HARLEM AVE
TINLEY PARK, IL 60477
Counselor (Mental Health)
16086 HARLEM AVE
TINLEY PARK, IL 60477
Occupational Therapist
16086 HARLEM AVE
TINLEY PARK, IL 60477

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 Nicolette Susralski's NPI number?

The NPI number for Nicolette Susralski is 1821846874. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Where is Nicolette Susralski located?

Nicolette Susralski practices at 16086 Harlem Ave, Tinley Park, IL 60477. The listed phone number is (815) 469-1500.

What is Nicolette Susralski's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicolette Susralski was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.