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Active NPI 1811641335 Individual Practitioner Female Practitioner

Shelby Soumar , MSBP - BCBA

Behavior Analyst • Mount Prospect, IL

Professional Overview & Biography Verified Profile Summary

Shelby Soumar, MSBP - BCBA is a registered healthcare professional specializing in Behavior Analyst in Mount Prospect, IL. Practice services are available at 625 SLAWIN CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

625 Slawin Ct

Mount Prospect, IL 600562183

Telephone 7155847789
Associated Practice Facility / Clinic
🏢 Search, Inc. Facility NPI 1871649145

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Mount Prospect, IL

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

Practicing in Mount Prospect, 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: 2022-02-04
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License IL 1-21-57189

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

6 Associated Practitioners
Ai Hashinoguchi

Social Worker

NPI 1023380003
Martin Montoya , LPC

Counselor - Professional

NPI 1144888173

Licensed Professional Counselor

Katie Schmid , LPC

Counselor - Mental Health

NPI 1306162714

Licensed Professional Counselor

Dr. Robert Jespersen , MD

Psychiatry & Neurology - Psychiatry

NPI 1407939630

Doctor of Medicine (M.D.)

Rachel Haught , LCPC

Counselor - Professional

NPI 1508042987

Licensed Clinical Professional Counselor

Nicole Kioussis , LCPC

Counselor - Professional

NPI 1629491261

Licensed Clinical Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2022

Registered at 625 SLAWIN CT, MOUNT PROSPECT, IL 600562183 (Tel: 7155847789)

📍
Updated Business Mailing Address February 04, 2022

Registered at 3 ELM CREEK DR APT 103, ELMHURST, IL 601265288 (Tel: 6307015696)

👤
Provider Name / Credentials Updated February 04, 2022

Recorded as SHELBY SOUMAR, MSBP - BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2022

Behavior Analyst (License #1-21-57189 in IL)

🟢
Initial NPI Registration & Enumeration February 04, 2022

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: 1811641335
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2022
Last Update: February 04, 2022
Sole Proprietor: Yes

Mailing Address

3 Elm Creek Dr Apt 103

Elmhurst, IL 601265288

Phone: 6307015696

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.