Camryn E McClellan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

00017424 Issued in AZ

Practice address

1801 W Warner Ave Ste 101
Chicago, IL 60613-1891

Phone

(312) 940-2190

NPI assigned

Mar 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1215683057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 MAPLE AVE APT 3",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602024218",
            "telephone_number": "623-980-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W WARNER AVE STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131891",
            "telephone_number": "312-940-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "CAMRYN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "00017424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie D McClane, D.R.
• India McClary
• Matthew McClary, CNP
• Alison McClean
• Anna McClellan, MA
• Julie McClellan
• Leah McClellan
• Megan Kelley McClellan, APRN, CNP
• Sean Patrick McClellan, MD
• Thomas Q McClelland

• Behavior Technician in Chicago, IL
• Providers in Chicago, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.