Provider Demographics
NPI:1114461282
Name:TRASATTI, CASEY KAYE (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:CASEY
Middle Name:KAYE
Last Name:TRASATTI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MRS
Other - First Name:CASEY
Other - Middle Name:KAYE
Other - Last Name:TRASATTI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BCBA
Mailing Address - Street 1:5454 BURR OAK RD
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-2113
Mailing Address - Country:US
Mailing Address - Phone:708-837-2273
Mailing Address - Fax:
Practice Address - Street 1:5454 BURR OAK RD
Practice Address - Street 2:
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-2113
Practice Address - Country:US
Practice Address - Phone:708-837-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-08
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1-17-28149103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-17-28149OtherBACB
1-17-28149OtherBACB