Active NPI
Edith Morgan Ecklund, M.S., BCBA
- Behavior Analyst
- Galesburg, IL
National Provider Identifier
1457577223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-03-1096
- Practice address
- 422 N Cherry St
Galesburg, IL 61401-3706 - Phone
- (309) 368-8750
- NPI assigned
- Apr 18, 2007
- 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 | 1-03-1096 | TN | Primary |
Addresses
Primary practice location
422 N Cherry St
Galesburg, IL 61401-3706
Mailing address
422 N Cherry St
Galesburg, IL 61401-3706
Phone (309) 342-1718
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1457577223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 N CHERRY ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614013706",
"telephone_number": "309-342-1718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 N CHERRY ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614013706",
"telephone_number": "309-368-8750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKLUND",
"first_name": "EDITH",
"middle_name": "MORGAN",
"name_prefix": "Mrs.",
"credential": "M.S., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "1-03-1096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.