Nicole Shannon Christen
Individual provider Active NPI Behavior Analyst · Romeoville, IL
NPI 1508301664 · NPPES record last updated Feb 20, 2017
Key facts
- NPI
- 1508301664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-16-24639 (IL)
- Practice address
- 232 Tallman Ave
Romeoville, IL 60446-1746 - Phone
- (708) 207-8981
- NPI assigned
- Dec 28, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilient Solutions ABA | Behavior Analyst | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-24639 | IL | Yes |
Addresses
Primary practice location
232 Tallman Ave
Romeoville, IL 60446-1746
Mailing address
232 Tallman Ave
Romeoville, IL 60446-1746
Phone (708) 207-8981
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- Erica A Cirrintano
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All providers in Romeoville, 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 Feb 20, 2017. 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.