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Deactivated NPI 1477150407 Deactivated / Inactive NPI Female Practitioner

Mattie Vannostrand , BCBA

Behavior Analyst • Evanston, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mattie Vannostrand has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 02, 2020
NPI Deactivation Date July 01, 2021
Total Practice Duration ~1 Years of Practice (2020 – 2021)

Professional Overview & Biography Verified Profile Summary

Mattie Vannostrand, BCBA was a registered Behavior Analyst practicing in Evanston, IL. Throughout an active medical career spanning 1 years, Mattie Vannostrand provided care at the practice location at 1638 MAPLE AVE until profile deactivation on 2021-07-01.

Practice Location & Contact Primary Location

Practice Address

1638 Maple Ave

Evanston, IL 602013602

Telephone 8474864140
Fax 8474864145
Associated Practice Facility / Clinic
🏢 North Shore Pediatric Therapy Facility NPI 1639211022

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Evanston, IL

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

Practicing in Evanston, 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: 2023-10-16
Behavior Analyst Primary Specialty

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jennie Rothner , RD

Dietitian, Registered

NPI 1003038886

Registered Dietitian

Weronika Noyszewski

Occupational Therapist

NPI 1003538430
Kiara Gilchrist , RBT

Behavior Technician

NPI 1013520543

Registered Behavior Technician

Patricia Keating-Skaronea

Behavior Technician

NPI 1013790427
Ellena Boudouvas

Behavior Technician

NPI 1013796705
Shelly Blanski , OTRL

Occupational Therapist - Pediatrics

NPI 1043430986

Occupational Therapist Registered & Licensed

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location October 16, 2023

Registered at 1638 MAPLE AVE, EVANSTON, IL 602013602 (Tel: 8474864140)

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Provider Name / Credentials Updated October 16, 2023

Recorded as MATTIE VANNOSTRAND, BCBA

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Updated Practice Location August 16, 2021

Registered at 2530 RIDGE AVE STE 103, EVANSTON, IL 602012493 (Tel: 8774864140)

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Updated Business Mailing Address August 16, 2021

Registered at 950 LEE ST STE 12, DES PLAINES, IL 600166532

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Provider Name / Credentials Updated August 16, 2021

Recorded as MATTIE SPEARS, BCBA

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2021

Behavior Analyst

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NPI Profile Deactivated July 01, 2021

Record deactivated on July 01, 2021

NPI Profile Active October 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2020

Registered at 770 LAKE COOK RD STE 230, DEERFIELD, IL 600154976 (Tel: 9208579041)

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Updated Business Mailing Address October 02, 2020

Registered at 1575 ALLOUEZ AVE, GREEN BAY, WI 543115639

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Provider Name / Credentials Updated October 02, 2020

Recorded as MATTIE SPEARS

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2020

Behavior Analyst

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Initial NPI Registration & Enumeration October 02, 2020

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: 1477150407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2020
Last Update: October 16, 2023
Deactivation Date: July 01, 2021
Sole Proprietor: No

Mailing Address

950 Lee St Ste 12

Des Plaines, IL 600166532

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.