Susan Hudkins, CERTIFIED RDI
Individual provider Active NPI Behavior Analyst · Glencoe, IL
NPI 1194040667 · NPPES record last updated Mar 29, 2010
Key facts
- NPI
- 1194040667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 660 Orchard LN
Glencoe, IL 60022-1061 - Phone
- (847) 242-0821
- NPI assigned
- Mar 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
660 Orchard LN
Glencoe, IL 60022-1061
Mailing address
660 Orchard LN
Glencoe, IL 60022-1061
Phone (847) 242-0821
Other providers in Glencoe, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2010. 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.