Nuala Gibbons
Individual provider Active NPI Behavior Analyst · Chicago, IL
NPI 1013373778 · NPPES record last updated Jan 11, 2016
Key facts
- NPI
- 1013373778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 2248 S Michigan Ave
Chicago, IL 60616-5258 - Phone
- (847) 909-8633
- NPI assigned
- Jan 11, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Behavioral Interventions | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
2248 S Michigan Ave
Chicago, IL 60616-5258
Mailing address
2248 S Michigan Ave
Chicago, IL 60616-5258
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.