Veronica Glickman, M.A., M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-15504

Practice address

1250 Executive PL Ste 201
Geneva, IL 60134-3805

Phone

(815) 223-2237

Fax

(815) 327-3440

NPI assigned

Apr 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Autism, Behavioral & Educational Services Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Geneva, IL
  • NPI 1275962714

  Behavior Analyst

  NPD Authorized official

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1174941603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 EXECUTIVE PL STE 201",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343805",
            "telephone_number": "815-223-2237",
            "fax_number": "815-327-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 EXECUTIVE PL STE 201",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343805",
            "telephone_number": "815-223-2237",
            "fax_number": "815-327-3440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3407 N Kennicott Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600041482",
            "country_code": "US",
            "telephone_number": "815-223-2237",
            "fax_number": "815-327-3440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1711 Dekalb Ave Ste C1",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "IL",
            "postal_code": "601782709",
            "country_code": "US",
            "telephone_number": "815-223-2237",
            "fax_number": "815-327-3440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLICKMAN",
        "first_name": "VERONICA",
        "credential": "M.A., M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2022-02-23",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-14-15504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-14-15504",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Geneva, IL
• Providers in Geneva, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.