Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kevin Thengumoottil Mathew, BCBA

Individual provider Behavior Analyst · NPI 1407620636

Mr. Kevin Thengumoottil Mathew, BCBA is a Behavior Analyst in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

5059 W Oakdale Ave
Chicago, IL 60641-5016
Phone: (773) 831-9950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-23-68973 (IL)

Record details

NPI number1407620636
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorNo
NPI enumeratedNovember 8, 2023
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023

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