Sheehan Behavioral Consultants LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

1-12-12059 Issued in IL

Legal business name

SHEEHAN BEHAVIORAL CONSULTANTS LLC

Practice address

13625 Laramie Ave
Crestwood, IL 60445-1566

Phone

(708) 837-3843

NPI assigned

Oct 15, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Colleen Lynne Sheehan, BCBA

Title

Board Certified Behavior Analyst

Phone

(708) 837-3843

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1154725455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13625 LARAMIE AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604451566",
            "telephone_number": "708-837-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13625 LARAMIE AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604451566",
            "telephone_number": "708-837-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEEHAN BEHAVIORAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "708-837-3843",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": "1-12-12059",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "1-12-12059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Louise Scarnavack
• Sandra Selakovich
• Amy Lynn Sertich, LCSW
• Jeraldene Shaffer, NP
• Zuwena Shavers, PHARMD
• Faisel Shehadeh, DMD
• Kamo G Sidhwa, MD
• Jacqueline Sielaff
• Mark Sirotinskiy, D.C.
• Samah Sami Slim, DC

• Developmentally Disabled Services Day Training Agency in Crestwood, IL
• Providers in Crestwood, IL by specialty
• Developmentally Disabled Services Day Training Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.