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Deactivated NPI 1396440467 Deactivated / Inactive NPI Female Practitioner

Alexandra Mary Idleman , RBT

Behavior Technician • Glenview, 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, Alexandra Idleman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 30, 2023
NPI Deactivation Date April 05, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Alexandra Idleman, RBT was a registered Behavior Technician practicing in Glenview, IL. Throughout an active medical career spanning 1 years, Alexandra Idleman provided care at the practice location at 1318 WAUKEGAN RD until profile deactivation on 2024-04-05.

Practice Location & Contact Primary Location

Practice Address

1318 Waukegan Rd

Glenview, IL 600253022

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

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Glenview, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.1 Yrs
Regional Practice Density
111 Specialists

Practicing in Glenview, IL (9375 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

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License IL RBT-22-218043

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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
Ellena Boudouvas

Behavior Technician

NPI 1013796705
Shelly Blanski , OTRL

Occupational Therapist - Pediatrics

NPI 1043430986

Occupational Therapist Registered & Licensed

Dr. Dianna Bosak , OTD, OTR, L

Occupational Therapist

NPI 1043929292

Doctor of Occupational Therapy, Occupational Therapist Registered, L

NPI 1053835702

Master of Science, Board Certified Behavior Analyst

Career & Practice History Timeline

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

14 Historical Events
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NPI Profile Deactivated April 05, 2024

Record deactivated on April 05, 2024

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Updated Practice Location November 14, 2023

Registered at 4611 BURMAN DR, CRYSTAL LAKE, IL 600146307 (Tel: 2178988614)

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Updated Business Mailing Address November 14, 2023

Registered at 4611 BURMAN DR, CRYSTAL LAKE, IL 600146307 (Tel: 2178988614)

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Updated Practice Location July 18, 2023

Registered at 22285 N PEPPER RD STE 301, LAKE BARRINGTON, IL 600102541 (Tel: 8478420597)

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Updated Practice Location June 23, 2023

Registered at 332 S MICHIGAN AVE STE 900, CHICAGO, IL 606044393 (Tel: 8558326727)

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Updated Practice Location May 28, 2023

Registered at 1300 REMINGTON RD STE K, SCHAUMBURG, IL 601734800 (Tel: 8474965513)

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2023

Behavior Analyst (License #1-23-65207 in IL)

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Provider Name / Credentials Updated April 18, 2023

Recorded as ALEXANDRA IDLEMAN, BCBA

NPI Profile Active April 07, 2023

NPI status registered as active in NPPES database

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Updated Practice Location April 07, 2023

Registered at 1318 WAUKEGAN RD, GLENVIEW, IL 600253022 (Tel: 8474864140)

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Updated Business Mailing Address April 07, 2023

Registered at 5905 CRAIN ST, MORTON GROVE, IL 600533012 (Tel: 2178988614)

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Provider Name / Credentials Updated April 07, 2023

Recorded as ALEXANDRA IDLEMAN, RBT

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2023

Behavior Technician (License #RBT-22-218043 in IL)

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Initial NPI Registration & Enumeration March 30, 2023

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: 1396440467
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2023
Last Update: April 07, 2023
Deactivation Date: April 05, 2024

Mailing Address

5905 Crain St

Morton Grove, IL 600533012

Phone: 2178988614

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.