Miriam Hopkins

Individual provider Active NPI Behavior Analyst · Lindenhurst, IL

NPI 1447808779 · NPPES record last updated Aug 17, 2021

Key facts

NPI
1447808779
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-21-52458 (WI)
Practice address
599 Falling Waters Way
Lindenhurst, IL 60046-1703
Phone
(847) 916-7375
Fax
(615) 577-5654
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Early Autism Project, Inc. Behavior Analyst Current
since Sep 1, 2019
Accepting new patients
Apex Pediatric Therapy Services LLC Behavior Analyst Past Accepting new patients

Locations

599 Falling Waters Way
Lindenhurst, IL 60046
Phone (847) 247-6674

1321 Murfreesboro Pike
Ste 702
Nashville, TN 37217
Phone (615) 724-4722

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-21-52458 WI Yes

Addresses

Primary practice location

599 Falling Waters Way
Lindenhurst, IL 60046-1703

Mailing address

1321 Murfreesboro Pike Ste 702
Nashville, TN 37217-2679
Phone (844) 359-7629

Other providers in Lindenhurst, IL

All providers in Lindenhurst, IL · Behavior Analyst in Illinois

Sources for this page

Verify at the official NPI Registry.