Melissa Anne Hackney, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-28199 Issued in IL

Practice address

5 Revere Dr
Northbrook, IL 60062-1566

Phone

(844) 247-7222

NPI assigned

Jan 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1437657186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 WELLESLEY LN",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601931144",
            "telephone_number": "847-609-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REVERE DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621566",
            "telephone_number": "844-247-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKNEY",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-17-28199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Guzaldo, RBT-18-70269
• Elizabeth Guzman
• Mary Ha, DDS
• Catherine Ann Hackeloer, RBT
• Laura A Hackl, P.T.
• Jenessa Hadzic, LCSW
• Kelly Haffner
• Kristin Hagen, OTR
• Sarah Haggett, OTR/L
• Mark Steven Hagler, L.C.P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.