Robyn Lee Frendling, BCABA
Individual provider Active NPI Behavior Analyst · Countryside, IL
NPI 1477833218 · NPPES record last updated Aug 25, 2011
Key facts
- NPI
- 1477833218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 0-11-4102 (IL)
- Practice address
- 9649 W. 55TH St
Countryside, IL 60525 - Phone
- (708) 352-3580
- Fax
- (708) 352-3763
- NPI assigned
- Aug 25, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0-11-4102 | IL | Yes |
Addresses
Primary practice location
9649 W. 55TH St
Countryside, IL 60525
Mailing address
9649 W. 55TH St.
Countryside, IL 60525
Phone (708) 352-3580
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All providers in Countryside, IL · Behavior Analyst in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.