Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720577232 Individual Practitioner Female Practitioner

Larissa Lertola , BCBA

Behavior Analyst • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Larissa Lertola, BCBA is a registered healthcare professional specializing in Behavior Analyst in Chicago, IL. Practice services are available at 8609 W BRYN MAWR AVE STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8609 W Bryn Mawr Ave Ste 204

Chicago, IL 606313524

Telephone 7737261416
Associated Practice Facility / Clinic
🏢 Djje Holdings Llc Facility NPI 1477001766

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Chicago, IL

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

Practicing in Chicago, 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: 2025-04-07
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MI 7401002764

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.

Technician/Technologist

NUCC Taxonomy Code: 156F00000X

A broad category grouping different kinds of technologists and technicians. See individual definitions.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

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.

Secondary Practice Locations

44225 W 12 Mile Rd Ste C-106

Novi, MI 483772640

Phone: 2482773005

Practice Associates & Co-Workers

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

13 Associated Practitioners
Lauren Young

Behavior Analyst

NPI 1003334723
Olivia Banks

Behavior Analyst

NPI 1093171241
Victoria Wood

Behavior Analyst

NPI 1144730177
NPI 1184190746

Master of Science, Board Certified Behavior Analyst

Aja Curry

Behavior Analyst

NPI 1194459743
Raquel Batrez , MS, CCC-SLP

Speech-Language Pathologist

NPI 1316507288

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

Career & Practice History Timeline

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

19 Historical Events
📍
Updated Business Mailing Address April 07, 2025

Registered at 44225 W 12 MILE RD STE C-106, NOVI, MI 483772640 (Tel: 2482773005)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2025

Technician/Technologist

👤
Provider Name / Credentials Updated November 18, 2024

Recorded as LARISSA LERTOLA, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2024

Behavior Analyst

📍
Updated Practice Location November 23, 2022

Registered at 8609 W BRYN MAWR AVE STE 204, CHICAGO, IL 606313524 (Tel: 7737261416)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2022

Behavior Analyst

📍
Updated Business Mailing Address November 02, 2022

Registered at 8609 W BRYN MAWR AVE STE 204, CHICAGO, IL 606313524 (Tel: 7737261416)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2022

Behavior Analyst

📍
Updated Business Mailing Address April 29, 2022

Registered at 2320 E LINCOLN HWY, NEW LENOX, IL 604519533

📍
Updated Practice Location October 01, 2021

Registered at 2320 E LINCOLN HWY, NEW LENOX, IL 604519533 (Tel: 8154691500)

👤
Provider Name / Credentials Updated October 01, 2021

Recorded as LARISSA TINDALL, BCBA

📍
Updated Practice Location October 16, 2020

Registered at 15023 21 MILE RD, SHELBY TOWNSHIP, MI 483155024 (Tel: 5862869644)

📍
Updated Business Mailing Address October 16, 2020

Registered at 15023 21 MILE RD, SHELBY TOWNSHIP, MI 483155024 (Tel: 5862869644)

NPI Profile Active May 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2018

Registered at 32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 480252454 (Tel: 2487124266)

📍
Updated Business Mailing Address May 09, 2018

Registered at 32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 480252454 (Tel: 2487124266)

👤
Provider Name / Credentials Updated May 09, 2018

Recorded as LARISSA LERTOLA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2018

Technician/Technologist

🟢
Initial NPI Registration & Enumeration May 09, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720577232
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2018
Last Update: April 07, 2025
Sole Proprietor: No

Mailing Address

44225 W 12 Mile Rd Ste C-106

Novi, MI 483772640

Phone: 2482773005

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.