Active NPI
Julie Wareham
- Behavior Analyst
- Naperville, IL
National Provider Identifier
1194382614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- W65042394812
- Practice address
- 603 E Diehl Rd Ste 123
Naperville, IL 60563-4908 - Phone
- (331) 826-0226
- NPI assigned
- May 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | W65042394812 | IL | Primary |
Addresses
Primary practice location
603 E Diehl Rd Ste 123
Naperville, IL 60563-4908
Mailing address
2708 Willow Ridge Dr
Naperville, IL 60564-8950
Phone (630) 696-2621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W65042394812 | IL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558310400000",
"number": "1194382614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 WILLOW RIDGE DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605648950",
"telephone_number": "630-696-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 E DIEHL RD STE 123",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605634908",
"telephone_number": "331-826-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAREHAM",
"first_name": "JULIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-20",
"last_updated": "2019-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "W65042394812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.