CMS-1500 Box 24J / 33a • NPI
1720992720
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
103K00000X
Licensed & Credentialed Behavior Analyst
Box 32 Service Location & ZIP+4
1387 N GALENA AVE, DIXON, IL, 61021-1009
✓ 9-Digit EDI 837 ZIP+4 (61021-1009)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1720992720 (AUTISM CENTER OF ILLINOIS CLINICAL SERVICES PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1720992720 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AUTISM CENTER OF ILLINOIS CLINICAL SERVICES PLLC |
| Plain-English Specialty | Licensed & Credentialed Behavior Analyst NUCC Code: 103K00000X (Behavior Analyst) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1387 N GALENA AVE, DIXON, IL, 61021-1009 |
| Practice Telephone / Fax | Tel: (815) 440-6134 |
| Administrative Mailing Address | 1387 N GALENA AVE, DIXON, IL, 61021-1009 |
| Enumeration & Last Sync | Enumerated: 2026-09-29 | CMS Record Updated: 2026-09-29 |
| Authorized Official | SARAH SVENDSEN (BCBA/Founder) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (103K00000X)
What Does Taxonomy Code 103K00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103K00000X translates to:
"Licensed & Credentialed Behavior Analyst"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AUTISM CENTER OF ILLINOIS CLINICAL SERVICES PLLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101YM0800X — Counselor, Mental HealthPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: N/A | License: Verified | Primary: Secondary |
103K00000X — Behavior AnalystPlain English: Licensed & Credentialed Behavior Analyst | State: N/A | License: Verified | Primary: Yes (Primary) |
103T00000X — PsychologistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist | State: N/A | License: Verified | Primary: Secondary |
104100000X — Social WorkerPlain English: Licensed & Credentialed Social Worker | State: N/A | License: Verified | Primary: Secondary |
106S00000X — Behavior TechnicianPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Technician | State: N/A | License: Verified | Primary: Secondary |
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: N/A | License: Verified | Primary: Secondary |
225X00000X — Occupational TherapistPlain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) | State: N/A | License: Verified | Primary: Secondary |
235Z00000X — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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