Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497240857 Individual Practitioner Female Practitioner

Shelby Corinne Vandever , MED, BCBA

Behavior Analyst • Carol Stream, IL

Professional Overview & Biography Verified Profile Summary

Shelby Vandever, MED, BCBA is a registered healthcare professional specializing in Behavior Analyst in Carol Stream, IL. Practice services are available at 411 E GENEVA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

411 E Geneva Rd

Carol Stream, IL 601882457

Telephone 8154691500
Associated Practice Facility / Clinic
🏢 Lsk Services Llc Facility NPI 1275286171

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Carol Stream, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Carol Stream, IL (3105 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-04
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License IL 1-18-32221

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcba
1497240857 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Beverly Blust

Speech-Language Pathologist

NPI 1003332768
Jennifer Vargo , MS, CCC-SLP, L

Speech-Language Pathologist

NPI 1003343922

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence), L

Lauren Caratachea

Behavior Analyst

NPI 1013341031
Shannon Watson

Behavior Technician

NPI 1013481654
NPI 1013522747

Physical Therapist, Doctor of Physical Therapy

NPI 1013575232

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location August 28, 2022

Registered at 411 E GENEVA RD, CAROL STREAM, IL 601882457 (Tel: 8154691500)

📍
Updated Business Mailing Address August 28, 2022

Registered at 4315 AZALEA DR APT 315, LISLE, IL 605321182

📍
Updated Practice Location August 21, 2019

Registered at 603 E DIEHL RD STE 123, NAPERVILLE, IL 605634908 (Tel: 3318260226)

📍
Updated Business Mailing Address August 21, 2019

Registered at 21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 913677807 (Tel: 8183452345)

👤
Provider Name / Credentials Updated October 15, 2018

Recorded as SHELBY VANDEVER, M.ED, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2018

Behavior Analyst (License #1-18-32221 in IL)

NPI Profile Active June 28, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2018

Registered at 25 N RIVER LN STE 2109, GENEVA, IL 601342003 (Tel: 3312227724)

📍
Updated Business Mailing Address June 28, 2018

Registered at 25 N RIVER LN STE 2109, GENEVA, IL 601342003 (Tel: 3312227724)

👤
Provider Name / Credentials Updated June 28, 2018

Recorded as SHELBY VANDEVER, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2018

Behavior Technician

🟢
Initial NPI Registration & Enumeration June 28, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1497240857
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2018
Last Update: October 04, 2024
Sole Proprietor: Yes

Mailing Address

4315 Azalea Dr Apt 315

Lisle, IL 605321182

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.